Febrile convulsion

Question 1

What is a simple febrile convulsion?

Answer 1

Generalised tonic clonic seizures lasting 15 mins - occur once during single febrile illness

Question 2

What is a complex febrile seizure?

Answer 2

Partial or focal seizures >15 mins OR occur multiple times during same febrile illness

Question 3

Differentials for febrile convulsion

Answer 3

Epilepsy
Neurological infections eg meningitis
Intracranial space occupying lesions
Syncopal episode
Electrolyte abnormalities
Truama

Question 4

Examples of neurological infections

Answer 4

Meningitis
Encephalitis
Cerebral malaria

Question 5

How long do febrile seizures normally last?

Answer 5

2-5 mintutes

Question 6

Mnagement of febrile convulsions

Answer 6

Manage fever with paracetemol/ibuprofen - simple analgesia

Question 7

What advice to give parents on if a further febrile convulsion occurs?

Answer 7

Stay with child in sage place eg carpeted floor with pillow under head
Place in recover position, away from sources injury
Nothing in mouth
Call ambulance if >5 mins

Question 8

When should go to the hospital for assessment with febrile seizure?

Answer 8

Have to go with first seizure
Can manage subsequent at home and visit GP at next available opportunity if confident

Question 9

Risk of developing epilepsy?

Answer 9

• 1.8% for the general population
• 2-7.5% after a simple febrile convulsion
• 10-20% after a complex febrile convulsion