Febrile Seizures

Question 1

At what age does febrile seizures commonly occur?

Answer 1

6 months to 5 years old

Question 2

It happens when a temperature of 38 degree Celsius or higher that are not the result of CNS infection or any metabolic imbalance and that occur in the absence of hx. of prior afebrile seizures

Answer 2

Febrile Seizures

Question 3

Are most common type of seizures observed in the pediatric age group.

Answer 3

Febrile seizures

Question 4

Associated with fever, but without evidence of intracranial infection or defined cause

Answer 4

Febrile seizures

Question 5

CRITERIAS FOR FEBRILE SEIZURES

Answer 5

1. Convulsions associated with an elevated temperature greater than 38 degree Celsius
2. A child more than 6 mos. and less than 6 yrs.
3. Absence of CNS infection or inflammation
4. Absence of acute metabolic abnormality that may produce convulsions.
5. No hx. of afebrile seizures.

Question 6

CLASSIFICATIONS OF FEBRILE SEIZURES

Answer 6

1. Simple Febrile Seizures
2. Complex Febrile Seizures

Question 7

Most common type of febrile seizure that are generalized

Answer 7

Simple Febrile Seizure

Question 8

How long does febrile seizure occur

Answer 8

Less than 15 minutes

Question 9

This febrile seizure can occur as tonic-clonic

Answer 9

Simple febrile seizure

Question 10

Do SFS re occur in 24 hrs. period?

Answer 10

NO

Question 11

Both stiffening and twitching or jerking of a person’s muscle

Answer 11

Tonic-Clonic Seizures

Question 12

Characterized by episodes that have a focal onset.

Answer 12

Complex Febrile Seizures

Question 13

How long does CFS occur

Answer 13

more than 15 minutes. Occur more than once in 24 hrs.

Question 14

How many percent it re occurs after 1st episode

Answer 14

30%

Question 15

How many percent it re occurs at infant less than 1 yr. old at onset

Answer 15

50%

Question 16

How many percent of infants with epilepsy have had febrile seizures

Answer 16

15%

Question 17

How many percent of children who have had febrile seizures developed epilepsy later in life?

Answer 17

2-7%

Question 18

Other Risk Factors

Answer 18

Genetic Factors: Positive Family History

Question 19

Positive Fam hx. of febrile seizures

Answer 19

Inherited as an autosomal dominant trait
Multiple single genes identified

Question 20

MAJOR risk factors for recurrence of Febrile Seizures

Answer 20

1. Age less than 1 yr old (2x-3x per day)
2. Duration of fever less than 24 hrs.
3. Fever 38-39 (100.4-102.2 degree F)

Question 21

MINOR risk factors for recurrence of Febrile Seizures

Answer 21

1. Family hx. of febrile seizures
2. Fam hx. of epilepsy
3. Complex Febrile Seizures
4. Male Gender
5. Low Serum sodium at the time of presentation

Question 22

Main Electrolytes of the Body

Answer 22

Sodium, Potassium, Calcium, Magnesium

Question 23

CAUSES OF Febrile Seizures

Answer 23

1. Upper respiratory tract infection
2. Gastroenteritis
3. Influenza Virus
4. Urinary Tract Infection

Question 24

If seizures are longer than 5 minutes, acute treatment are:

Answer 24

1. Midazolam
2. Diazepam
3. Lorazepam

Question 25

Classifications of seizures medications

Answer 25

Sedatives

Question 26

Give at the time of recurrence of a febrile seizure lasting longer than 5 minutes

Answer 26

Rectal Diazepam

Question 27

Can decrease discomfort of the child but do not reduce the risk of having a recurrent febrile seizures.

Answer 27

Antipyretics

Question 28

When do seizures often occur?

Answer 28

As temperature is rising or falling