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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] Febrile ...
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 seizure. [19] The exact reason for febrile convulsion is unidentified, though it might be the outcome ...
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 ...
Febrile seizures are divided into two categories known as simple and complex. 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.
A seizure is a paroxysmal episode of symptoms or altered behavior arising from abnormal excessive or synchronous brain neuronal activity. [5] A focal onset seizure arises from a biological neural network within one cerebral hemisphere, while a generalized onset seizure arises from within the cerebral hemispheres rapidly involving both hemispheres.
In children between the ages of 6 months and 5 years, a fever of 38 °C (100.4 °F) or higher may lead to a febrile seizure. [25] 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]
Originally called Doose syndrome, epilepsy with myoclonic-astatic seizures accounts for ~2% of childhood epilepsies. Children with this disorder have incredibly brief (<100ms) myoclonic jerks followed by equally brief loss of muscle tone, sometimes resulting in dangerous falls. Some patients have much longer lasting seizures of this type.
Usually, there is no family history of similar seizures, although siblings with Panayiotopoulos syndrome or Panayiotopoulos syndrome and rolandic epilepsy or, less common, Panayiotopoulos syndrome and idiopathic childhood occipital epilepsy of Gastaut have been reported. There is a high prevalence of febrile seizures (about 17%). [11]
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