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Review the diagnosis and management
of Febrile Seizures
Madeleine Grace M. Sosa, MD., FPPS, FPNA,FCNSP, MSCE To give an update in the preventive and
Faculty & Consultant De La Salle Health Science Institute , therapeutic management of children
College of Medicine, Dasmarinas, Cavite
with Febrile Seizures
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Febrile Seizures
Simple Complex While the majority of febrile seizures are simple (70-
75%)
Symptoms Generalized Focal
9-35% of febrile seizures are complex
Duration <15 minutes >15 minutes
Recurrence in first 24 hours No recurrence May recur
Focal signs in post-ictal Absent Present
period
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Epidemiology Epidemiology
Incidence , worldwide : 114% (Hauser,1994). Children who have had febrile seizures also have
Febrile seizures recur in approximately 30% of increased odds of developing epilepsy (2% to 7%) than
patients, most commonly between the ages of six the general population
months and three years.
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During a febrile seizure, a child may lose consciousness or responsiveness, shake and move limbs on
both sides of the body.
The child becomes rigid or has twitches in only a portion of the body, such as an arm or a leg, or on the right or
What may happen to
the the left side only.
child during the febrile The child may vomit or pass urine.
seizure?
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Blood and urine tests may be examined to detect infections. Typically, a full seizure workup including an EEG, head CT,
There is no evidence that simple febrile seizures (<10 minutes) cause death, brain damage, epilepsy,
What does not
happen to the mental retardation, a decrease in IQ, or learning difficulties.
What may occur
during the .
and lumbar puncture (spinal tap ) is not warranted
healthcare
childs brain during a
febrile providers
evaluation
seizure?
and/or testing of the
child
Injuries caused by falling or bumping into objects.
A third of children will have another febrile seizure with a subsequent fever. Biting oneself
Of those who do, about will have a 3rd seizure. If there is a family history, if the first seizure happened before 12 Pneumonia secondary to fluid aspiration.
What are the
The likelihood of months of age, or if the seizure happened with a fever below 102, a child is more likely to have >1 febrile seizures. possible sequelae
reoccurrence of febrile seizures?
Injury from prolonged or complicated seizures.
Childhood febrile seizures, although primarily benign, can be frightening and anxiety-provoking
events for parents and caregivers. It is important that health care providers understand potential
parental misconceptions, anxieties and fears about fever and febrile seizures so that they may
Summary allay those fears effectively.