It is a common cause of pediatric hospital admissions and cause of anxiety for parents. A febrile seizure, also known as a fever fit or febrile convulsion, is a seizure associated with a high body temperature but without any serious underlying health issue. Ferris clinical advisor instant diagnosis and treatment, 2003 ed. Lennoxbuchtal encuentra una relacion edadsexo en las recidivas. They concluded that parents should be reassured that death after febrile seizures is very rare, even in highrisk children51. A simple febrile crisis is related with a great variety of febrile illnesses. Convulsion febril compleja o convulsion febril atipica o convulsion febril complicada. Febrile convulsion definition of febrile convulsion by. Emergency febrile convulsion in children department health. Febrile seizures are the most common seizure disorder in the pediatric population and represent a frequent cause of consultation in emergency departments, confirming its importance.
Trying to treat the fever such as by giving paracetamol will not prevent a febrile convulsion. American academy of pediatrics, committee on quality improvement, subcommittee on febrile seizures, the longterm treatment of the child with simple febrile seizures pediatrics 103. Most fs are simple with approximately 2030% being complex. They most commonly occur in children between the ages of 6 months and 5 years. There are uncommon atypical occurrences outside this age range which nonetheless otherwise fit the definition of a febrile convulsion. Methods from 2002 to 2010, 199 subjects, age 1month to 6years, were recruited as part of a prospective, multicenter study of consequences of fse, which was defined as a febrile seizure or series. Convulsion inducida por fiebre, convulciones febriles.
Antipyretic drugs do not reduce recurrences of febrile seizures in children with previous febrile seizure. James, evaluation and treatment of the child with febrile seizure am fam physician. Effectiveness of intermittent diazepam prophylaxis in febrile seizures. Diagnosis is clinical after exclusion of other causes. The distribution of a first fs duration can be described using a two population model, one with short seizure duration and the other with long seizure duration, with the cutoff at approximately 10 minutes. Fs have a peak incidence at 18 months of age and are most common between 6 months and 5 years. Etiologia estatus epileptico chin rf et al lancet 2006. Definition febrile seizures are seizures that occurs between the age of 6 months to 5 years with a temperature of 38 c 100.
Febrile seizures are the most common seizures in childhood. This finding was partly explained by preexisting neurological abnormalities and subsequent epilepsy. Jun 25, 2015 febrile convulsions are seizures fits or convulsions occurring in children aged 6 months to 5 years, associated with fever, without other underlying cause such as cns infection or electrolyte imbalance. Such seizures are symptomatic of some neurologic disorder. Convulsions can be produced by any of a number of chemical disorders, such as hypoglycemia and hypocalcemia. John hopkins the harriet lane handbook a manual for pediatric house officers, 16th ed. Febrile seizures are the commonest childhood seizure. Febrile seizures pediatrics msd manual professional. Ppt febrile convulsion powerpoint presentation free to. Febrile seizures could be the first manifestation of epilepsy. Most seizures are less than five minutes in duration, and the child is completely back to normal within an hour of the event. A febrile convulsion is a common medical problem affecting children worldwide for it is associated to a great.
Dec 20, 2018 convulsion febril pdf 27 sep febrile seizures are the most common neurologic disorder of infants and young children. Febrile seizures are the most common neurologic disorder in the pediatric age group, affecting 25% of children between 6 months and 5 years of age in the united states and western europe with a peak incidence between 12 and 18 months. Time series data from wa show a marked increase in febrile convulsion presentations to ed immediately following tiv vaccination commencement on 8 march 2010, no presentations on sundays and over the easter holiday period when it would be expected that minimal vaccination would be undertaken and a prompt return to prevaccination period levels. Longterm prognosis in febrile convulsions with and wihtout prophylaxis. Office of communications and public liaison national institute of neurological disorders and stroke. Contents definition classification epidemiology risk factors causes differential diagnosis diagnosis management patient education 3. There is a low risk 1 in 40 of developing epilepsy in simple febrile seizures. During followup evaluation, the risk of epilepsy after a simple febrile seizure was shown to be only slightly higher than that of the general population, whereas the chief risk associated with simple febrile seizures was recurrence in onethird. Convulsiones febriles convulsiones causadas por fiebre. They have been observed in 25% of children before the age of 5, but in some populations this figure may increase to 15%. Spanish multimedia encyclopedia convulsiones febriles. Benzodiazepines can be used as rescue treatment for recurrent prolonged febrile seizures. Convulsion febril pdf 27 sep febrile seizures are the most common neurologic disorder of infants and young children. There is no evidence of benefit for prophylactic antiepileptic drugs.
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