@Article{, title={Evaluation of Serum Iron in Patients with Afebrile Seizure}, author={Adnan S. Abdullah ( and Ahmed H. AL-Ani and Nadhim M. Muosa}, journal={The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت}, volume={25}, number={1}, pages={140-151}, year={2019}, abstract={ABSTRACT: Background : Two hypotheses have been suggested to explain the origin of seizures after brain injury. One suggests that inhibitory neurons are selectively damaged and remaining principal excitatory neurons become hyperexcitable .Aim : To evaluate the relation between the presence of iron deficiency anemia and the occurrence of afebrile fit.Patients and method: A case control study done on 40 patients with afebrile seizure attending to the pediatrics department in Samaraa general hospital during the period from first of July to the last of October 2017year.Each patient with afebrile seizure were assessed by prepared questionnaire including ,name, age, sex, residents, pre-ectal, ictal, post-ectal, pica symptom, presence of risk factor and family history of seizure ..Each patient examined for presence of pallor ,chionlychia , angular stomatitis ,flat tongue and organomegally .Each patient included in the study were sent for serum iron. A patient were sent for also EEG and C.T. scan.Results: Most of the study cases presented with pallor 17 cases (29.31%). Regarding pre-ictal symptom, most of them are abnormal head movement 7cases (14.28%). In ictal-state symptom, most of them had tonic-clonic seizure 8cases (19.51%). In post-ictal state symptom, most of cases had drowsiness 28cases (32.18%). In EEG report, from 22 patients had EEG record, 14 cases (63.62%) were abnormal and diagnosed as having seizure. In C.T Scan report, where a19 patients we're did examination, 9cases (47%) patient were normal. Most of cases had no risk factor for seizure 24cases (60%). Most of cases were between ≥1 yr-<5 yrs.19 cases (47.5%), had low iron. In 40 cases were taken, 22cases (55%) of them were of low iron. of 40 cases of seizure, those with low serum iron 22cases (55%) show that 15cases (37.5%) of patients having uncontrolled seizure and 7cases (17.5%) of patients having control seizure, in comparison to16 (40%) of patients with normal serum iron, 11 cases (27.5%) of them had uncontrolled seizure and 5cases (12.5%) had control seizure.Conclusion: The study concludes that there was no significant result regarding iron level and seizure occurrence. The study recommended further studies on bigger sample size and for a longer period of time to clarify the occurrence of seizure among the patients with low iron.

} }