Febrile convulsions

Question 1

what is the incidence

Answer 1

3%

Question 2

what is the diagnostic criteria

Answer 2

1. 6mo-6yrs
2. no hx afrebile convulsion
3. normal development
4. febrile
5. no neurological abnormalities
6. no CNS infection

Question 3

what are the 2 types of febrile convulsion

Answer 3

simple

• generalised tonic clonic
• <15mins
• does not recur in same illness

complex 1+ of

• focal
• > 15mins
• 1+ in same illness
• incomplete recovery at 1hr

Question 4

what is febriel status epilepticus

Answer 4

> 30 mins

Question 5

what ix are necessary

Answer 5

often none especially if the cause is known 
septic screen in:
- <6mo 
- atypical 
- no cause known

Question 6

what is the maangement

Answer 6

reassurance!!!!
supportive
panadol for comfort not fever
treat underlying illness

Question 7

what are the discharge requiremetns

Answer 7

normal neurological state
bacterial infection treated
parents counselled

Question 8

what is teh recurrence rates

Answer 8

increased depending on age of child of first convulsion
1yr 50%
2yrs 30%

Question 9

what are the long term consequences

Answer 9

none, does not contribute to disability, CP or death

Question 10

what is the chance of developing epilepsy

Answer 10

depends on RF 
- family hx of epilepsy 
- neurodevelopmetn disoder
atypical convulsion 
no RF same as pop 1%
1 RF 2%
>1RF 10%

Question 11

what should a parent do in a convulsion

Answer 11

• stay calm
• lie child on side on soft floor
• do not restrain child
• clear space around them so they cannot hurth themselves
• observe and document what happens
• > 5mins call ambulance
• <5mins see GP ASAP or go to ED
• only drive if 2 adults