| ID | 391 |
|---|---|
| Name | FEBRILE SEIZURE |
| Cause | The cause of febrile seizures is unknown, although they're linked to the start of a high temperature (fever). There may also be a genetic link to febrile seizures, as the chances of having a seizure are increased if a close family member has a history of them. |
| Signs Symptoms | your child's body will become stiff and their arms and legs will begin to twitch. they'll lose consciousness and they may wet or soil themselves. they may also vomit and foam at the mouth and their eyes may roll back. the seizure usually lasts for less than five minutes. |
| Diagnosis | To diagnose the cause of a complex febrile seizure, doctor may also recommend an electroencephalogram (EEG), a test that measures brain activity. doctor may also recommend an MRI to check your child's brain if your child has: An unusually large head. An abnormal neurological evaluation MAY BE RECOMMENDED lUMBER pUNCTURE |
| Investigations | Children who are current with their vaccinations who have a first simple febrile seizure don't need testing. Your doctor can diagnose the febrile seizure based on history. In children with a delayed vaccination schedule or a compromised immune system, your doctor may recommend tests to look for severe infections: A blood test A urine test A spinal tap (lumbar puncture), to find out if your child has a central nervous system infection, such as meningitis |
| Management | Antipyretics are effective in reducing the risk of febrile seizures if given early in the illness. Immediate care for the patient who has had a febrile seizure includes stopping the seizure, if prolonged, and evaluating the patient for the cause of the fever. dOCTOR IS SUGGESTED REFFER PATIENT TO HOSPITALIZATION UNDER SUPERVION OF SPECIALST |
| Introduction | Fobrile seizures (or convulsions) can be defined as epileptic seizures • precipitated by fever, not due to an intracranial infection or other definite CNS cause and not preceded by afebrile seizure, in a genetically predisposed child of age between 6 months to 5 years.43 Fberile seizure occurs in about 3% of all children of aforesaid age group, majority occurs in the first 3 years of age, 3% of epileptic patients suffer from febrile seizure and 3% febrile seizures turn into true epilepsy (Rule of S). |
| History | |
| Etiology | Infection. The fevers that trigger febrile seizures are usually caused by a viral infection, and less commonly by a bacterial infection. The flu (influenza) virus and the virus that causes roseola, which often are accompanied by high fevers, appear to be most frequently associated with febrile seizures |
| Clinical Features | Usually, a child having a febrile seizure shakes all over and loses consciousness. Sometimes, the child may get very stiff or twitch in just one area of the body. ... Symptoms Have a fever higher than 100.4 F (38.0 C) Lose consciousness. Shake or jerk the arms and legs. |
| Preventions | Giving the child diazepam when illness or fever begins can reduce the risk of having another febrile seizure. However, to prevent one febrile seizure in this way, other children who were never destined to have another febrile seizure will receive the medicine needlessly. bARBITURATES ARE ALSO RECOMMENDED |
| Treatment | Treatment Place your child on his or her side on a soft, flat surface where he or she won't fall. Start timing the seizure. Stay close to watch and comfort your child. Remove hard or sharp objects near your child. Loosen tight or restrictive clothing. Don't restrain your child or interfere with your child's movements. |
| Complications | Febrile seizures have been linked to an increased risk of epilepsy. Many parents worry that if their child has one or more febrile seizures, they'll develop epilepsy when they get older. Epilepsy is a condition where a person has repeated seizures without a fever. |
| Prognosis | After an initial febrile seizure, physicians should reassure parents about the low risk of long-term effects, including neurologic sequelae, epilepsy, and death. However, there is a 15 to 70 percent risk of recurrence in the first two years after an initial febrile seizure. |
| Types | Simple febrile seizures are most common. ... Complex febrile seizures last longer than 10 minutes, happen more than once in 24 hours, and involve movement or twitching of only one part or one side of the body. |
| Classification | Classification: There are 3 types of febrile seizure: Simple febrile seizure Atypical or complex febrile seizure Symptomatic febrile seizure |
| Observation | |
| Pathology | The exact pathophysiology of febrile seizures is unknown. However, it is assumed that a combination of genetic predisposition and environmental factors- the fever and its cause- trigger the even |
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