Febrile Convulsions

Question 1

What is a febrile convulsion

Answer 1

Type of seizure which occurs in children with high fever

Question 2

Age of febrile convulsions

Answer 2

6 months to 5 years

Question 3

What is a simple febrile convulsion

Answer 3

Generalised tonic clonic seizure lasting less than 15 minutes and only occur once during febrile illness

Question 4

What is a complex febrile convulsion

Answer 4

Consist of partial or focal seizure lasting longer than 15 minutes or occuring multiple times during same illness

Question 5

Diagnosis of febrile convulsion

Answer 5

Rule out other neurological causes, fever from underlying bacterial or viral illness

Question 6

Differentials of febrile convulsions

Answer 6

Epilepsy, meningitis, SOPs, syncopal episodes, electrolyte abnormalities, trauma

Question 7

Management of febrile convulsion

Answer 7

Identify and manage underlying source of infection and control fever.
Simple analgesia such as paracetemol or ibuprofen.
Complex febrile convulsions need frurther investigations