Febrile seizures fs, events associated with a fever in the absence of an intracranial infection, hypoglycaemia, or an acute electrolyte imbalance, occur in children between six months and six. Febrile convulsions a practical guide epilepsy society. In a simple febrile seizure, where the focus of infection can be identified clinically, no investigations are indicated. Theyre convulsions a child can have during a very high fever thats usually over 102. Febrile seizures usually occur in young children who are between the ages of 3 months to 3 years. Evaluation and treatment of the child with febrile seizure. Discuss the classification, epidemiology, and pathophysiology of febrile seizures in children. No data, however, suggest that prophylactic treatment of children with simple febrile seizures would reduce the risk, because epilepsy likely is the result of genetic. Physicians can play a vital role in reassuring families about the good prognosis after a febrile seizure. Fs are the most common type of convulsions in children. There is no role for eeg in simple or complex febrile seizures.
Patient will be free of complications and maintain normal core temperature. Review the evaluation, management, and prognosis of febrile seizures. Febrile seizures fs are seizures or convulsions that occur in children between six months and six years of and are triggered by fever 1. They concluded that parents should be reassured that death after febrile seizures is very rare, even in highrisk children51. Seizure simple and complex febrile inpatient care guideline. Neuroimaging should not be performed in the routine evaluation of the child with a simple febrile seizure. Less common symptoms include eye rolling, rigid stiff limbs, or twitching on only one side or a portion of the body, such as an arm or a leg. Their prevalence is approximately 3%4% in white children, 6%9% in japanese children, and 5%10% in indian children 2. The primary risk factors for a first febrile seizure are day care center attendance, developmental delay, having a first or seconddegree relative with a history of febrile seizure, and a. Their prevalence is approximately 3%4% in white children, 6%9% in japanese children, and 5%10% in indian children.
Patient will identify measures to promote nutrition and follow the treatment regimen. Longterm consequences of febrile seizure are rare in children who are otherwise healthy. Evaluation and treatment of the child with febrile seizure aafp. When a child presents with a seizure and fever, it is important to rule out bacterial meningitis. Febrile seizures fs are seizures or convulsions that occur in children between six months and six years of and are triggered by fever. Guideline for the neurodiagnostic evaluation of the. Children with febrile seizures do as well at school as their siblings who do not have febrile seizures. Learn more about the symptoms at the epilepsy foundation. When treating the child with fever and epileptic seizure, the clinician may actually be faced with at least four distinct patient subgroups. Children up to age six may be at risk of febrile seizures if present in the family history. The management of febrile seizures british columbia.
This finding was partly explained by preexisting neurological abnormalities and subsequent epilepsy. Most often during a febrile seizure, a child will lose consciousness and both arms and legs will shake uncontrollably. The evaluation and management of nonfebrile seizures and status epilepticus in neonates, infants, and children are also discussed separately. Clinical features and evaluation of febrile seizures uptodate.
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