Febrile Convulsions

Question 1

Features

Answer 1

6mnth to 6yr
Associated with febrile illness not caused by CNS infec. More link to rapid rise in temp than high temp itself.
No neonatal or previous unprovoked seizures
Not meet criteria for acute symptomatic seizures
Usually tonic clonic
Usually under 15 min
Rapid complete recovery, no post ictal

Question 2

RFs for recurrence

Recurrence 30-40%

Answer 2

Onset under 18 mnth
Febrile seiz in 1st degree relative
Relative low grade fever assoc with fever (under 38)
Short duration of fever bef seizure (under 1hr)
Multiple seiz during same illness

Question 3

Simple type

Answer 3

Tonic clonic, generalised
Under 10 mins
1-2% chance of epilepsy, same as popn
No brain damage

Question 4

Complex type

Answer 4

Focal onset
Asymmetrical
Multiple in same illness
Over 10 mins
4-12% epilepsy

Question 5

Px

Answer 5

Stiffness
LOC
Incontin
Vomit
Eyes roll back

Question 6

Mx

Answer 6

Cushion head, move harmful objects
A to E and recovery position after
If over 5 mins then rectal diaz or buccal midaz
Do a bm

Question 7

ix

Answer 7

EEG

LP

Question 8

Comm cause

Answer 8

Roseola infantum HHV6