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Febrile seizures are due to fevers, [12] usually those greater than 38 °C (100.4 °F). [16] The cause of the fevers is often a viral illness. [1] The likelihood of a febrile seizure is related to how high the temperature reaches. [1] [6] Some feel that the rate of increase is not important [1] while others feel the rate of increase is a risk ...
The seizures may initially be focal; however, often become tonic-clonic. [4] Complications often include intellectual disability, behavioral problems, and ongoing seizures. [2] [1] The underlying cause is unclear. [1] Often there is an upper respiratory tract or gastroenteritis one day to two weeks before onset. [1]
Febrile seizures are divided into two categories known as simple and complex. A febrile seizure would be categorized as complex if it has occurred within 24 hours of another seizure or if it lasts longer than 15 minutes. A febrile seizure lasting less than 15 minutes would be considered simple.
In children between the ages of 6 months and 5 years, a fever of 38 °C (100.4 °F) or higher may lead to a febrile seizure. [25] About 2-5% of all children will experience such a seizure during their childhood. [26] In most cases, a febrile seizure will not indicate epilepsy. [26]
A simple febrile seizure is generalized, occurs singularly, and lasts less than 15 minutes. [19] A complex febrile seizure can be focused in an area of the body, occur more than once, and lasts for more than 15 minutes. [19] Febrile seizures affect 2–4% of children in the United States and Western Europe. It is the most common childhood ...
In children with one simple febrile seizure, starting anti-seizure medications is not recommended. [3] [54] While both fever medications (antipyretics) and anti-seizure medications reduce reoccurrence, the harmless nature of febrile seizures outweighs the risks of these medications. [54] However, if it was a complex febrile seizure, EEG should ...