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FebrileSeizures
(Febrileconvulsions)1
Generalconsideration1.Definition:Afebrileconvulsionsisaassociatedwithfeverintheabsenceofanothercauseandnotduetointracranialinfection.2
Generalconsideration2.Occurinabout3％ofchildren.3.Usuallybetween6monthsand3years,butupto6yearsofage.4.Geneticpredisposition.3
ClinicalfeaturesTheseizureusuallyoccursearlyinaviralinfectionwhenthetemperatureisrisingrapidly.4
ClinicalfeaturesTheseizuresareusuallybrief,lasting1～2min,andaregeneralisedtonicortonic-clonic.5
Seizuresrecur1.Inabout15％ofcase,seizuresrecurinthesameillness.Theoverallriskofafurtherfebrileconvulsionis1in3,andoftheseafurtherthirdwillhavethreeormoreseizures.2.Therecurrenceriskishigheriftheonsetoccursbeforetheageof1yearandifthereispositivefamilyhistory.6
PrognosisFebrileconvulsionsusuallyhaveabenignprognosis;onlyabout1％ofchildrenwithfebrileconvulsionssubsequentlydevelopepilepsy.7
RiskfactorsRiskfactorsforthesubsequentdevelopmentoflocalisation-related(partial)epilepsyare:1.Aprolongedseizure(longerthan30min).2.Iftheseizureisfocal.3.Ifseizuresrecurwithinthesameillness.4.Complexfebrileseizures.8
DifferentialDiagnosisSimpleFSComplexFSAge6m～6y＜6mor＞6yProlong＜15min＞15minTemperature＞38.5℃＜38.5℃ConculsiongenerallocalRecurs＜2/24h＞3/24hRecurrences≤4≥5EEG(aftre7d)normalabnormal9
Management10
ManagementImmediatemanagement:1.Diazepam:0.1～0.3mg/kg,iv.2.Tokeepthetemperaturelowbya.removingwarmclothing.b
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