Benign Febrile Convulsions are most commonly seen seizures among the kids and it affects the kids

till 5 years of age. Mostly, fever and shivers accompany these convulsions. The affected child shakes his legs and limbs and often loses consciousness because of the stroke like situations. These febrile convulsions are benign in nature and are not as dangerous as epileptic attacks. These are often termed as benign attacks because these attacks do not result in brain damage or any nervous system disorder. The disorder often affects the nervous system of kids but the effects is not long lasting and usually goes away after some time on its own. The recurrence period of benign convulsions is not less than 24 hours and they usually last for 15-20 minutes at most. Affected kids shiver badly and in some cases, they experience twitches as well. Among all the reported cases of febrile seizures or convulsions, 80-85% are benign or simple in nature. Viruses like herpes and influenza are the main reasons behind the benign febrile convulsions. Meningitis causes less than 1% of febrile seizures, but should be investigated to rule out this serious infection, especially in children less than one year old or those who continue to appear ill after the fever subsides. A urine specimen should be taken to exclude infection, and a blood glucose level should be taken. Read more: s?fdid=uniquecontent1_9cf37cd1041ac200764f156a4a8fda54#ixzz15KYramXi


o most common cause of seizure in children o 3-5% of all children, M > F Criteria
 age 6 months - 6 years  thought to be associated with initial rapid rise in temperature  no interictal neurologic abnormalities  no evidence of CNS infection/inflammation or acute systemic metabolic disorder  no history of non-febrile seizures  most common seizure type is generalized tonic-clonic; however may be any type  risk factors include • family history of febrile seizures (40% positive) • high fever • slow development of child

Simple Febrile Seizure
 duration < 15 minutes (95% < 5 minutes)  generalized, symmetric  does not recur in a 24 hour period

Atypical Febrile Seizure
 focal origin  > 15 minute duration, multiple (> 1 in 24 hours)  followed by transient neurologic deficit

Risk Factors for Recurrence
 33% chance of recurrence  age of onset < 1 year • 50% chance of recurrence if < 1 year • 28% chance of recurrence if > 1 year  risk of epilepsy is < 5%; risk factors include abnormal development of child previous to seizures, family history of afebrile seizures and a complex initial seizure

 history: determine focus of fever, description of seizure, meds, trauma history, development, family history  exam: LOC, signs of meningitis, neurologic exam  R/O meningitis – do LP if signs and symptoms of meningitis  EEG not warranted unless atypical febrile seizure or abnormal neurologic findings  investigations unnecessary except for determining focus of fever

 UNSELLING AND REASSURANCE TO PATIENT AND PARENTS  antipyretics (e.g. acetaminophen), tepid baths, fluids for comfort (will not prevent seizure)

 prophylaxis not given except in very unusual circumstances  if high risk for recurrent or prolonged seizures carry rectal Ativan at home

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