Serum vitamin B12, folic acid, and homocysteine levels in children with febrile seizure

Serum vitamin B12, folic acid, and homocysteine levels in children with febrile seizure

ÖzkaleY, Erolİ, KılıçarslanB, ÖzkaleM, SaygıS, SarıtürkÇ, SezginN. Serum vitamin B12, folic acid, and homocysteine levels in children with febrile seizure. Turk J Pediatr 2015; 57: 345-352.The aim of this study is to investigate the associations between febrile seizure and serum levels of vitamin B12, folic acid, and homocysteine. One hundred and four children who presented with febrile seizure and 75 controls who presented with febrile illness unaccompanied by seizure were enrolled into the study. Mean levels of vitamin B12, folic acid and homocysteine were compared between two groups. Mean vitamin B12 level in the febrile seizure group was significantly lower than the control group. The febrile seizure patients with 3 or more had significantly lower serum folic acid than the subgroups with two or one episode only. Serum concentrations of folic acid were significantly lower in the febrile seizure subgroup with body temperature 37.5-39.0?C at time of convulsion. Low serum vitamin B12 may reduce a child's threshold for seizure and may be a risk factor for febrile seizure. Low serum folic acid level may be predisposed to recurrent febrile seizure.

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  • 1. Commission on Epidemiology and Prognosis, International League Against Epilepsy Guidelines for epidemiologic studies on epilepsy. Epilepsia 1993; 34: 592-596.
  • 2. Engel J. Report of the ILAE Classification Core Group. Epilepsia 2006; 47: 1558-1568.
  • 3. Waruiru C, Appleton R. Febrile seizures: an update. Arch Dis Child 2004;89:751-756.
  • 4. Tonia Jones, Steven J. Jacobsen. Childhood febrile seizures: overview and implications. Int J Med Sci 2007; 4: 110-114.
  • 5. John R Østergaard. Febrile seizures. Acta Paediatr 2009; 98: 771-773.
  • 6. Daoud AS, Batieha A, Abu-Ekteish F, Gharaibeh N, Ajlouni S, Hijazi S. Iron status: a possible risk factor for the first febrile seizure. Epilepsia 2002; 43: 740- 743.
  • 7. Burhanoglu M, Tutuncuoglu S, Coker C, Tekgul H, Ozgur T. Hypozincaemia in febrile convulsion. Eur J Pediatr 1996; 155: 498-501.
  • 8. Heida JG, Moshe SL, Pittman QJ. The role of interleukin-1beta in febrile seizures. Brain Dev 2009; 31: 388-393.
  • 9. Khoshdel A, Parvin N, Abbasi M. Selenium and leptin levels in febrile seizure: a case-control study in children. Korean J Pediatr 2013; 56: 80-85.
  • 10. Gunduz Z, Yavuz T, Koparel M, Kumandas S, Saraymen R. Serum and cerebrospinal fluid zinc levels in children with febrile convulsion. Acta Paediatr 1996; 38: 237- 241.
  • 11. Ganesh R, Janakiraman L. Serum zinc levels in children with simple febrile seizure. Clin Pediatr 2008; 47: 164-166.
  • 12. Pisacane A, Sansone R, Impagliazzo N, et al. Iron deficiency anaemia and febrile convulsions: case-control study in children under 2 years. BMJ 1996; 10: 313- 343.
  • 13. Kobrinsky NL, Yager JY, Cheang MS, Yatscoff RW, Tenenbein M. Does iron deficiency raise the seizure threshold? J Child Neurol 1995; 10: 105-109.
  • 14. Hartfield DS, Tan J, Yager JY et al. The association between iron deficiency and febrile seizures in childhood. Clin Pediatr 2009; 48: 420-426.
  • 15. Osifo BO, Lukanmbi FA, Familusi JB. Cerebrospinal fluid folate and cobalamin levels in febrile convulsion. J Neurol Sci 1985; 68: 185-190.
  • 16. Osifo BO, Lukanmbi FA, Familusi JB. Comparison of folate levels in convulsing and non-convulsing febrile children. Trop Geogr Med 1983; 35: 363-368.
  • 17. Miller A, Korem M, Almog R, Galboiz Y. Vitamin B12, demyelination, remyelination and repair in multiple sclerosis. J Neurol Sci 2005; 15: 93-97.
  • 18. Rasmussen SA, Fernhoff PM, Scanlon KS. Vitamin B12 deficiency in children and adolescents. J Pediatr 2001; 138: 10-17.
  • 19. Herrmann W, Obeid R. Causes and early diagnosis of vitamin B12 deficiency. Dtsch Arztebl Int 2008; 105: 680-685.
  • 20. Vugteveen I, Hoeksma M, Monsen AL, et al. Serum vitamin B12 concentrations within reference values do not exclude functional vitamin B12 deficiency in PKU patients of various ages. Mol Genet Metab 2011; 102: 13-17.
  • 21. Reynolds E. Vitamin B12, folic acid, and the nervous system. Lancet Neurol 2006; 5: 949-960. 22. Morrell MJ. Folic
  • 23. Erol I, Alehan F, Gümüs A. West syndrome in an infant with vitamin B12 deficiency in the absence of macrocytic anaemia. Dev Med Child Neurol 2007; 49: 774-6.
  • 24. Biancheri R, Cerone R, Rossi A, et al. Earlyonset cobalamin C/D deficiency: epilepsy and electroencephalographic features. Epilepsia 2002; 43: 616-622.
  • 25. Allen LH, Rosado JL, Casterline JE, et al. Vitamin B-12 deficiency and malabsorption are highly prevalent in rural Mexican communities. AJCN 1995; 62: 1013- 1019.
  • 26. Meldrum BS. The role of glutamate in epilepsy and other CNS disorders. Neurology 1994; 44: 14-23.
  • 27. Telfeian AE, Connors BW. Epileptiform propagation patterns mediated by NMDA and non-NMDA receptors in rat neocortex. Epilepsia 1999; 40: 1499-1506.
  • 28. Kubova H, Folbergrova J, Mares P. Seizures induced by homocysteine in rats during ontogenesis. Epilepsia 1995; 36: 750-756.
  • 29. Mares P, Folbergrova J, Langmeier M, et al. Convulsant action of D,L-homocysteic acid and its stereoisomers in immature rats. Epilepsia 1997; 38: 767-776.
  • 30. Marangos PJ, Loftus T, Wiesner J, et al. Adenosinergic modulation of homocysteine-induced seizures in mice. Epilepsia 1990; 31: 239-246.
  • 31. Rosenblatt DS, Aspler AL, Shevell MI, et al. Clinical heterogeneity and prognosis in combined methylmalonic aciduria and homocystinuria. J Inherit Metab Dis 1997; 20: 528-538.
  • 32. Fowler B. Genetic defects of folate and cobalamin metabolism. Eur J Pediatr 1998; 157: 60-66.
  • 33. Müller H, Maler JM, Kreil S, Rotter-Neubert A, Kornhuber J, Sperling W. Correlation between homocysteine serum levels and the duration of seizures in patients treated with electroconvulsive therapy. J ECT 2012; 28: 37-38.
  • 34. Lai SC, Nakayama Y, Sequeira JM, et al. The transcobalamin receptor knockout mouse: a model for vitamin B12 deficiency in the central nervous system FASEB J. 2013; 27: 2468-2475.
  • 35. Fernàndez-Roig S, Lai SC, Murphy MM, et al. Vitamin B12 deficiency in the brain leads to DNA hypomethylation in the TCblR/CD320 knockout mouse. Nutr Metab 2012; 18; 9: 41.
  • 36. Banka S, Blom HJ, Walter J, et al. Identification and characterization of an inborn error of metabolism caused by dihydrofolate reductase deficiency. Am J Hum Genet 2011; 88: 216-225.
  • 37. Depeint F, Bruce WR, Shangari N, Mehta R, O'Brien PJ. Mitochondrial function and toxicity: role of B vitamins on the one-carbon transfer pathways. Chemico Biological Interactions 2006; 163: 113-132.
  • 38. Hallacogl B, Sassaroli A, Fantini S, Troen AM. Cerebral perfusion and oxygenation are impaired by folate deficiency in rat: absolute measurements with noninvasive near-infrared spectroscopy. J Cereb Blood Flow Metab 2011; 31: 1482-1492.
  • 39. Fine EJ, Soria ED. Myths about vitamin B12 deficiency. South Med J 1991; 84: 1475-1481
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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