Published December 1, 2011 | Version v1
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Prospective Study of Level of Serum Zinc In Patients of Febrile Seizures, Idiopathic Epilepsy and CNS Infections

  • 1. Department of Peadiatric M.L.B. Medical College, Jhansi - 284128

Description

The present study was carried out to study serum zinc levels for it’s prognostic significance as well as for it’s role in pathophysiology of febrile seizures, idiopathic epilepsy and acute CNS infections. In the present study, 100 cases who were admitted in our hospital during March 2009 to August 2010, aged between 1 month to 18 yrs were selected on the basis of clinical history, physical and CSF examination. They were grouped as groupA (pyogenic meningitis), group B (febrile seizures), group C (idiopathic epilepsy), group D (other acute CNS infections), group E (cerebral malaria) and group F (control). Cases of cerebral palsy, neuroanatomical malformations, neurobehavioural disorders, neurodegenerative disorders and drug induced neurological manifestations were not included in the present study. Mean serum zinc level was significantly lower in groups A, B & E, while no significant difference was observed in group C & D as compared to the control. No significant difference in serum zinc level was detected in relation to outcome and degree of consciousness in any of the study groups.

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References

  • 1. Allen J, Perri RT, McClaen CI, Kay NE: Alterations in human natural killer cell activity and monocyte cytotoxicity induced by zinc deficiency. The Journal of Laboratory & Clinical Medicine, 1983;102(4):577-589
  • 2. Burhanglu M, Tutuncuoglu S,Coker C,Tekgul H, Ozgur T Hypozincemia in febrile convulsion. European Journal of Pediatrics, 1996; 55(6):449-501.
  • 3. Duggan C, William BM, Nancy FK, James LW, Walfaie WF, Zul GP, Victor M, Jonathan LS, Kojo YA, Davidson HH: Plasma Zinc concentrations are depressed in acute cerebral malaria. The Journal of Nutrition, 2005;135(4):802-807
  • 4. Ehsanipour F, Talebi-Taher, Harandi NV: Serum zinc level in febrile convulsion and its complications with that of control group. Iran Journal of Pediatrics, 2009;19(1):65-68.
  • 5. Frederickson CJ: Neurobiology of zinc & zinc containing neurons. International Review of Neurobiology, 1989; 3l: 145-238.
  • 6. Garty BZ, Olornucki R, Lerman - Sagie T, Nitzan M: Cerebrospinal fluid zinc concentration in febrile convulsions. Archieves of Diseases in Childhood, l995;73(4):338-34l.
  • 7. Halsted JA, Smith JC: Plasma-zinc in health and disease. Lancet ,1970;295(7642):322-324.
  • 8. Izumi Y, Ishii K, Akiba K, Hayashi T: Hypozincemia during fever may trigger febrile convulsion. Medical Hypotheses,1990;32(1):77-80
  • 9. Mishra O P, Singhal D, Upadhyay RS, Prasad R, Atri D: Cerebrospinal fluid zinc, magnesiuim, copper and gamma-aminobutyric acid levels in febrile seizure. Journal of Pediatrics Neurology , 2007;5(1):39-44.
  • 10. Pandey VK, Parmeswararn, Soman SD, Dacosta HJ: Altered sensorium in neurological infections and the homeostasis of Mg, Zinc, Cupper, Magnesium and Calcium. The Science of the Total Environment, 1982; 25(3):277-285.
  • 11. Prasad R, Singh A, Das BK, Upadhayay RS, Singh TB, Misra OP: Cerebrospinal fluid and serum Zn,Cu,Mg and Ca levels in children with idiopathic seizures. Journal of Clinical and Diagnostic Research, 2009;3(6):1841-1846.
  • 12. Ganesh R, Lalitha J: Serum Zinc level in children with simple febrile seizure. Clinical Pediatrics, 2008; 47(2);164-166
  • 13. Sazawal S Black RE, Bhan MK, Bhandari N, Sinha A: Jalle S Zinc supplementation in young children with acute diarrhoea in India. The New England Journal of Medicine, 1995;333(13):839-844.
  • 14. Shankar AH, Prasad AS: Zinc and immune function. The biological basis of altered resistance to infection. The American Journal of Clinical Nutrition, 1998;68(2 suppl):447S-463S.
  • 15. Sugarmam B, Epps LR, Stenback WA: Zinc and bacterial adherence. Infection and Immunity, 1982;37(3):1 191-9.
  • 16. Vallee B: Biochemistry, physiology & pathology of zinc. Physiological Reviews, 1959; 39(3):443-490.
  • 17. Walsh CT, Sandstead HH, Prasad AS, Newberne PM, Fraker PJ: Zinc health effects and research priorities for the 1990's. Environmental Health Perspectives, 1994;102(Suppl 2):5-46.