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Benign Febrile Convulsion
Benign Febrile Convulsion
A febrile status epilepticus is a febrile seizure that lasts for longer than 30
minutes. It can occur in up to 5% of febrile seizure cases.
Prevention
In
those
with
a
history
of
febrile
seizures,
neither antipyretic or anticonvulsant medications have been found effective for
prevention; however, some appear to be associated with harm. They are thus not
recommended as an effort to prevent further seizures
Treatment
The vast majority of people do not require treatment for either their acute
presentation
or
for
recurrences
In
those
who
have prolonged
seizures intravenous lorazepam is recommended. The other benzodiazepines
midazolam and diazepamare also reasonable options.
Prognosis
Long term outcomes are generally good with little risk of neurological
problems or epilepsy. Those who have one febrile seizure have an approximately
40% chance of having another one in the next two years, with the risk being
greater in those who are younger.
Simple febrile seizures do not tend to recur frequently (children tend to
outgrow them) and do not make the development of adult epilepsy significantly
more likely (about 35%) compared with the general public (1%). Children with
febrile convulsions are more likely to have a febrile seizure in the future if they
were young at their first seizure (less than 18 months old), have a family
history of a febrile convulsions in first-degree relatives (a parent or sibling), have
a short time between the onset of fever and the seizure, had a low degree of
fever
before
their
seizure,
or
have
a
seizure
history
of
Epidemiology
Febrile seizures happen between the ages of six months and five
years. They affect between 2-5% of children. Rates between 5 and 10% have
been reported in India and Japan