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Benign Febrile Convulsion
Benign Febrile Convulsion
Febrile convulsion
the most common seizure disorder during childhood 3 month - 6 yr of age strong family history of febrile convulsion
Temperature of 37.8C or greater generalized and tonicclonic seizure Lasts for less than 15 minutes Not recur within the same febrile illness Neurologic examination is normal No underlying CNS infection
duration is >15 min repeated convulsions occur within 24 hr focal seizure activity or focal findings are present during the postictal period
Definition
Grades of Recommendation Grade A: Diagnostic test should be used Grade B: The test may or may not be used Grade C: The test should not be used
Lumbar puncture should be performed in all children below 18 months for a simple febrile seizure. For children more than 18 months of age, lumbar puncture should be performed in the presence of clinical signs of meningitis
Use of continuous anticonvulsant is not recommended in children after a first simple febrile seizure.
Although anticonvulsants can reduce recurrence of febrile convulsion, the adverse side effects of these do not warrant their use in this benign disorder
Prognostic Evaluation
Electroencephalogram should not be routinely requested in children with a first simple febrile convulsion
Evidences show that it does not reliably predict recurrence of febrile seizure