0 Febrile Seizures

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Febrile Seizures

• Age group : 9 months - 5 years

• MC during childhood, comes in 14-18 months (Mostly)

Typical : 

• GTCS
• < 10 mins duration
• Single febrile episode
• Risk of epilepsy later - 1% 

Atypical :

• Partial seizures
• > 15 mins
• Multiple febrile episodes 
• Risk of epilepsy later - 7%

Recurrence : 30 - 50 %

Thus Intermittent prophylaxis is used : Fever - Paracetamol , Diazepalm / Clobazam (oral)


 Note : 

1. Rule out meningitis as a differential diagnosis.
   Meningeal signs are rare in < 18months , therefore in these children do Lumbar puncture also.
2. Prolonged febrile seizures can cause Mesial Temporal Sclerosis.

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