Febrile convulsions Flashcards
Who gets febrile convulsion?
In toddlers -under 3 y/o typically-can go till 5
3% of children affected
usually with a fever-caused by viral infections
Different types of febrile convulsions?
Simple - tonic clonic, generalised
<5mins
spontaneously resolves -recover in 1h
No repeats
Complex- tonic clonic, partial
15-30 mins
can have repeated incidents- cluster
Status epilepticus -over 30misn
Signs and Sx of febrile seizures
Brief, generalised seizure in a toddler with a previous fever/current
rhythmical, fast shakes
should not cause brain injury if simple
complex might and can be.a sign of worse illness
Ix of Febrile convulsions
Identify and treat cause of fever -
Glucose
potentially - Urine dip, M&S, LP,
other Ix NOT recommended -no EEG/CT/MRI
Management of current febrile convulsion
Less than 5mins -dont do anything -protect head and tongue
> 5mins -call ambulance
or if in hospital -
PR diazepam -> buccal midazolam
Management after a febrile convulsion
Admission criteria - first convulsion, <18m, uncertain on cause, complex seizures
if not - reassure parents and educate about the condition
Not the same as epilepsy
Reaccurence is 1/3
simples -no risk of epilepsy
Complex -4-12% risk
advise on giving convulsion meds (diazepam)
and teach about Mx a cold-
dont cool kid off, fluid intake, paracetamol/ibu PRN