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Febrile seizures
Definition:
A febrile seizure is a convulsion in a child triggered by a fever. Such convulsions occur without any underlying brain or spinal cord infection or other neurologic cause. Alternative Names:
Seizure - fever induced Text Continues Below
Causes, incidence, and risk factors:
About 3-5% of otherwise healthy children between the ages of 9 months and 5 years will have a seizure caused by a fever. Toddlers are most commonly affected. There is a tendency for febrile seizures to run in families. Most febrile seizures are triggered by a rapid rise of body temperature over 102.2°F. Most occur well within the first 24 hours of an illness, not necessarily when the fever is highest. It is the quickness of the rise in temperature, not the actual height of the fever, which appears to trigger the seizures. The seizure is often the first sign of a fever. The first febrile seizure is one of life's most frightening moments for parents. Most parents are afraid that their child will die or have brain damage. Thankfully, simple febrile seizures are harmless. There is no evidence that simple febrile seizures cause death, brain damage, epilepsy, mental retardation, a decrease in IQ, or learning difficulties. Most febrile seizures are triggered by fevers from viral upper respiratory infections, ear infections, or roseola. Meningitis causes less than 0.1% of febrile seizures but should ALWAYS be considered, especially in children less than one year old or those who still look ill when the fever comes down. A simple febrile seizure stops by itself within a few seconds to 10 minutes, usually followed by a brief period of drowsiness or confusion. Anticonvulsant medicines are generally not needed.
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