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Simple febrile seizures involve an otherwise healthy child who has at most one tonic-clonic seizure lasting less than 15 minutes in a 24-hour period. [1] Complex febrile seizures have focal symptoms, last longer than 15 minutes, or occur more than once within 24 hours. [5] About 80% are classified as simple febrile seizures. [6]
This can result in learning disabilities, [6] behavioral disorders, memory issues, sensory changes, and possibly death. Children continue to have seizures throughout their lives. The term was previously used only for cases that occur in children but was redefined to include all ages. [7]
A simple febrile seizure is generalized, occurs singularly, and lasts less than 15 minutes. [19] A complex febrile seizure can be focused in an area of the body, occur more than once, and lasts for more than 15 minutes. [19] Febrile seizures affect 2–4% of children in the United States and Western Europe, it is the most common childhood ...
About 2-5% of all children will experience such a seizure during their childhood. [26] In most cases, a febrile seizure will not indicate epilepsy. [26] Approximately 40% of children who experience a febrile seizure will have another one. [26] In those with epilepsy, fever can trigger a seizure.
The epileptic seizure in the vast majority of pediatric epilepsy patients is ephemeral, and symptoms typically subside on their own after the seizure comes to an end, but some children experience what is known as a “seizure cluster," in which the first seizure is followed by a second episode approximately six hours later.
A febrile seizure would be categorized as complex if it has occurred within 24 hours of another seizure or if it lasts longer than 15 minutes. A febrile seizure lasting less than 15 minutes would be considered simple. Sometimes modest hyperthermic stressors like physical exertion or a hot bath can provoke seizures in affected individuals. [6]
In children with one simple febrile seizure, starting anti-seizure medications is not recommended. [3] [54] While both fever medications (antipyretics) and anti-seizure medications reduce reoccurrence, the harmless nature of febrile seizures outweighs the risks of these medications. [54] However, if it was a complex febrile seizure, EEG should ...
Many studies have found out that age is the most related factor to the etiology of status epilepticus, since 52% of febrile seizures was found in children, while for adults acute cerebralvascular cases was more common, side by side with hypoxia and other metabolic causes. [35]
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