Blood test, imaging of the brain and an electroencephalogram are generally not needed. There is no benefit from the use of phenytoin , valproate , pyridoxine , ibuprofen , zinc sulfate , diclofenac , acetaminophen. There is a decrease of recurrent febrile seizures with intermittent diazepam and phenobarbital but there is a high rate of adverse effects.
It is important that parents and caretakers remain calm, take first aid measures, and carefully observe the child. If a child is having a febrile seizure, parents and caregivers should do the following: In those who have prolonged seizures intravenous lorazepam is recommended. Long term outcomes are generally good with little risk of neurological problems or epilepsy. Febrile seizures happen between the ages of six months and five years. From Wikipedia, the free encyclopedia. Febrile seizure Synonyms Fever fit, febrile convulsion An analog medical thermometer showing a temperature of Archived from the original on 6 October Retrieved 13 October Archived from the original on 6 September Clinical neurology 8th ed.
Canadian family physician Medecin de famille canadien. Should children who have a febrile seizure be screened for iron deficiency? Archives of Disease in Childhood.
The Cochrane Database of Systematic Reviews. Archived from the original on 28 July Any time your child has a temperature and is under the age of 6, a febrile seizure is possible. These are the most common reasons for a fever:. If your child picked up a bacterial or viral infection she may get a temperature. Roseola , also known as sixth disease, is often a culprit because it causes a fever to spike quickly. Fevers may follow some immunizations -- especially the one for measles , mumps and rubella MMR.
Your child may get a temperature 8 to 14 days after the shot. Some children, especially babies under 12 months old, may need medical tests. Children who are younger than 15 months when they have the first one are more likely to have a repeat. Your doctor may prescribe antiseizure medicine to give your child at home. Your child should have normal development and learning after a febrile seizure.
A simple febrile seizure should not cause any long-term consequences. Who Gets a Febrile Seizure? If, however, preventing subsequent febrile seizures is essential, oral diazepam would be the treatment of choice. It can reduce the risk of febrile seizure recurrence and, because it is intermittent, probably has the fewest adverse effects. See Treatment and Medication for more detail.
Febrile seizures are the most common seizure disorder in childhood. Since early in the 20th century, people have debated about whether these children would benefit from daily anticonvulsant therapy.
Epidemiologic studies have led to the division of febrile seizures into 3 groups, as follows: The child is otherwise neurologically healthy and without neurological abnormality by examination or by developmental history. Fever and seizure is not caused by meningitis, encephalitis, or other illness affecting the brain.
Age, neurological status before the illness, and fever are the same as for simple febrile seizure.
This is a unique form of epilepsy that occurs in early childhood and only in association with an elevation of temperature. The underlying pathophysiology is unknown, but genetic predisposition clearly contributes to the occurrence of this disorder.
Children with a previous simple febrile seizure are at increased risk of recurrent febrile seizures; this occurs in approximately one third of cases. Children who have simple febrile seizures are at an increased risk for epilepsy.
The rate of epilepsy by age 25 years is approximately 2. The literature does not support the hypothesis that simple febrile seizures lower intelligence ie, cause a learning disability or are associated with increased mortality [ 6 ].
How common are febrile seizures? This is because aspirin has been linked to Reye's syndrome, a rare but potentially life-threatening condition, in such children. Lumbar puncture should be considered in children aged months, because clinical signs and symptoms of bacterial meningitis may be subtle in this age group. In most cases, you can look after your child at home after a doctor has seen them for a febrile convulsion. National Institute of Neurological Disorders and Stroke.
Verity CM, Golding J. Risk of epilepsy after febrile convulsions: Delaying childhood vaccines ups postvaccine seizure risk. A controlled trial of diazepam administered during febrile illnesses to prevent recurrence of febrile seizures. N Engl J Med.