febrile convulsions

Question 1

aetiology?

Answer 1

occur in child between 6months-5 years w high fever

Question 2

types

Answer 2

• simple
  
  • generalised tonic-clonic
  • last < 15 mins
  • only occur once
• complex
  
  • partial or focal seizures
  • last > 15 mins
  • occur multiple times

Question 3

diagnosis?

Answer 3

exclude other DDx of seizures ie

• epilepsy
• meningitis, encephalitis
• SoL
• electrolyte imbalance
• trauma
• syncopal episode

Question 4

Mx?

Answer 4

identify & manage source of infection + antipyretics

• simple- no further rx required
• complex- further ix required

Question 5

risk of developing epilepsy following this?

Answer 5

• 2-7.5% after simple
• 10-20% after complex