Febrile Convulsion

Question 1

What is the commonest cause of a symptomatic seizure

Answer 1

Febrile convulsion

Question 2

Describe simple vs complex febrile convulsion

Answer 2

Simple:
Generalised tonic clonic
<15 mins lasting
No recurrence in 24hrs

Complex:
Partial seizure
>15 mins
Recurrence <24hrs

Question 3

Is febrile convulsion common

Answer 3

yes very common

3% of children will have at least 1 febrile convulsion

Question 4

What should you communicate to parents after a febrile convulsion

Answer 4

Not dangerous
No long term complications (e.g epilepsy)
If future fever give paracetemol asap

Question 5

Characteristic signs of febrile convulsion

Answer 5

Age 6m - 6yr 
Core temp >38.5
URTI/viral illness common trigger 
No evidence of CNS infection 
Generalised tonic clonic seizure lasting <5 mins