febrile convulsions

Question 1

what

Answer 1

type of seizure occuring in children with high ever

no epilepsy or underlying neuro pathology such as meningitis, tumour

Question 2

occur in kids aged between

Answer 2

6mo - 5yrs

Question 3

simple febrile convulsions

Answer 3

generalised tonic-clonic seizures
< 15mins
occur once in the febrile illness

Question 4

complex febrile convulsions

Answer 4

partial or focal seizures
>15min
occur multiple times during same febrile illness

Question 5

differential diagnoses

Answer 5

epilepsy
meningitis, encephalitis
space occupying lesion
electrolyte abnormalities

Question 6

typical presentation

Answer 6

child ~18mo presenting with 2-5min tonic clonic seizure during high fever

Question 7

Mx

Answer 7

identify and manage underlying source of infection

control fever with simple analgesia e.g. paracetamol

Question 8

advice to parents in further episode occurs

Answer 8

stay with child 
put them in safe place e.g. carpet floor with pillow under head
recovery position 
dont put anything in mouth 
call 999 if seizure persists >5min

Question 9

risk of developing epilepsy

Answer 9

1.8% for general population
2-7.5% for simple
10-20% for complex