1 / 15

Febrile Convulsion

Febrile Convulsion. Dr F. Ashrafzadeh 3/7/90. Definition of F.C. Occur between 6 mo – 6 y With T>38°c or more Not result of CNS infectious or metabolic dis.. Incidence: 2-5%. Classification:. Simple F.C Complex F.C >15’ , focal, recur within 24 hr

toril
Download Presentation

Febrile Convulsion

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Febrile Convulsion Dr F. Ashrafzadeh 3/7/90

  2. Definition of F.C Occur between 6 mo – 6 y With T>38°c or more Not result of CNS infectious or metabolic dis.. Incidence: 2-5%

  3. Classification: • Simple F.C • Complex F.C >15’ , focal, recur within 24 hr • Febrile status epilepticus >30'

  4. Recurrence of F.C • 30% after a first episode • 50% after 2 or more episode or in infant less than 1 years

  5. Risk factors for recurrence of F.C • Major: Age < 1 y Duration of fever< 24 hr Fever 38-39°c • Minor: Familial hx of F.C Day care Familial hx of epilepsy Male Complex F.C Low Na

  6. Risk factors for recurrence of F.C • con’t: 1 risk factor……. 12% recurrence 2 risk factors…... 25-50% recurrence 3 risk factors…... 73-100% recurrence

  7. Types of epilepsy can be preceded by F.C: • Severe myoclonic epilepsy of infancy ( Dravet syndrome ) • Generalized epilepsy with F.C ( GEFS+) • Temporal lobe epilepsy ( mesial temporal sclerosis )

  8. GEFS+: A.D syndrome Early childhood Generalized epilepsy (GTCS, absence, myoclonic atonia, myoclonic astatic)

  9. Dravet syndrome: • Severe form of epilepsy • Onset in 1st year of life • Febrile or afebrile unilateral clonic seizures • During 2 yrs seizure occur • Makes developmental delay • A.D gene is located 2q24-31 • Most patients with vaccine encephalopathy • have Dravet syn

  10. Risk factors for recurrence of epilepsy Simple F.C 1% Developmental delay 33% Focal complex F.C 29% Familial hx of epilepsy 18% Fever 1 hr before attacks 11% Complex febrile seizures 6% Recurrent F.C 4%

  11. Lumbar puncture: In children less than 18 m.o In children has received A/B Signs and symptoms of meningitis

  12. EEG in F.C: • When epilepsy is highly suspected • To know the type of epilepsy • It can’t delineate F.C occurrence • Must be done after 2 weeks

  13. Paraclinical studies: • Blood studies is not recommended • unless….. • B.S if prolonged postictal obtundation • Neuroimaging is not recommended

  14. Treatment: • If seizure last more than 5 minutes….. give DZM • Oral DZM 0.3 mg/kg q8h during fever • Chronic antiepileptic therapy in greater risk group • Iron deficiency increases F.C

More Related