Infantile Masturbation-Treated with Anti-Epileptic Drugs: Experience of a Tertiary Care Pediatric Hospital in Bangladesh
Khadija Rahman
Pediatric Rehabilitation Unit, Dr. M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh.
Sharmin Afroze *
Department of Neonatology, Dr. M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh.
M. S. Khaled
Department of Pediatric Pulmonology, National Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Dhaka, Bangladesh.
Morsheda Khanam
Department of Pediatrics, Dr. M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh.
Ruma Parvin
Department of Neonatology, Dr. M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh.
Sultana Amena Ferdoucy
Department of Radiology & Imaging, Dr. M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh.
Sheikh Farjana Sonia
Department of Pediatrics, Dr. M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh.
*Author to whom correspondence should be addressed.
Abstract
Aim: This study was aimed to find out the mismanagement of infantile masturbation and the outcome of the cases who were treated with anti-epileptic drugs.
Study Design: Retrospective.
Place and Duration of Study: This study was conducted at outpatient department of Rehabilitation and Neurology unit of Dr. M R Khan Shishu Hospital and Institute of Child Health, Dhaka Bangladesh, between 2013-2022.
Methods: Data were collected from records which included socio-demographic data and clinical features of masturbation in children. Data related to treatment was also collected and their outcome was observed.
Results: Among 50 patients, majority (74%) had age of onset between 12-36 months of age. Mean age was 43±26 months, the range was between 4 months to 84 months. Female were predominant (60%). Most of the children came from urban area (86%) and belong to nuclear family (78%). They presented with stereotype movement of variable duration and there was no alteration of consciousness. Prone positioning was more frequent than prone to supine position (78% Vs 18%). There was no laboratory and EEG abnormalities among the cases. Thirty two percent patients were treated with anti-epileptic drugs from outside and among them 2 (12%) was given sodium valproate and rest 14 (88%) were treated with phenobarbitone. But there was no clinical improvement in these cases.
Conclusion: Use of anti-epileptic drugs was not associated with any clinical improvement in children with infantile masturbation.
Keywords: Masturbation, infant, anti-epileptic drugs, Bangladesh