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.




MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

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