CONVULSION FEBRIL PDF

Emergency treatment of febrile seizures[ 3 ] If the child is still convulsing or not fully alert: Recovery position, check and maintain Airway, Breathing, Circulation. Check blood glucose. Benzylpenicillin or cefotaxime if meningococcal disease is suspected: Suspect meningitis in any child who is systemically unwell, irritable, or was drowsy before the seizure. Classification[ 3 , 4 ] Simple febrile seizures These are generalised, tonic-clonic seizures lasting less than 15 minutes, which do not recur within 24 hours or within the same febrile illness. Complex febrile seizures These have one or more of the following:[ 5 ] Focal features at onset or during the seizure.

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Emergency treatment of febrile seizures[ 3 ] If the child is still convulsing or not fully alert: Recovery position, check and maintain Airway, Breathing, Circulation. Check blood glucose. Benzylpenicillin or cefotaxime if meningococcal disease is suspected: Suspect meningitis in any child who is systemically unwell, irritable, or was drowsy before the seizure. Classification[ 3 , 4 ] Simple febrile seizures These are generalised, tonic-clonic seizures lasting less than 15 minutes, which do not recur within 24 hours or within the same febrile illness.

Complex febrile seizures These have one or more of the following:[ 5 ] Focal features at onset or during the seizure. Duration of more than 15 minutes. Recurrence within the same febrile illness. Febrile status epilepticus This is a febrile seizure lasting for longer than 30 minutes. NB: other types of seizure related to acute illness in children are:[ 1 ] Febrile myoclonic seizures.

The prognosis is good. There are uncommon atypical occurrences outside this age range particularly between 3 and 6 months old and between 5 and 6 years old which nonetheless otherwise fit the definition of a febrile convulsion.

Most are the simple febrile seizure type. Susceptibility to febrile convulsions follows a multifactorial polygenic mode of inheritance with a maternal preponderance in transmission. However, studies have shown both increased and decreased risk of febrile convulsions in children with iron-deficiency anaemia compared to non-anaemic controls.

It is uncertain whether the degree of fever or the rate of rise of temperature is a trigger in febrile seizures. Inheritance patterns are probably polygenic, although in a few families a particular gene or autosomal dominant inheritance has been identified. Causes of fever in children with febrile seizures The vast majority are:.

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Convulsiones febriles

They most often happen between the ages of 6 months and 3 years. As a precaution, you may still need to take your child to the nearest hospital or call and ask for an ambulance. See What to do during a seizure. Signs of a febrile seizure A febrile seizure usually lasts for less than 5 minutes. After the seizure, your child may be sleepy for up to an hour. These are known as complex febrile seizures.

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Febrile seizures

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