seizures

Question 1

simple febrile seizure

Answer 1

occurs with fever >38 C
Child <6yo
No previous h/o afebrile seizures
No systemic metabolic conditions that could be cause of seizures
No CNS infection

Question 2

Complex febrile seizure

Answer 2

Lasts >30mins

Question 3

% risk of having a FS

Answer 3

4%

Question 4

Factors that increase risk of recurrant FSs

Answer 4

1) younger <1hr) before seizure onset
4) FHx of FS 9 1st degree relatives of children w FS - 10-20% parents and siblings will have FS)

• all factors present - risk increased to 76%
• no factors - 4%
• NB Complex FS not factor for risk recurrence

Question 5

average % risk of having recurrent FS after 1st

Answer 5

30%

Question 6

risk developing epilepsy by 25

Answer 6

1.4% - general population
2.4% - w FS, no risk factors
10% - child w developmental delay, FmHx and any complex feature
49% = child w all 3 features of complex FS (focal, prolonged multiple)

Question 7

educate parents

Answer 7

• reassure - benign low risk
• good prognosis
• WHAT to do if have another fb
• what to do if have another fever`

Question 8

when to admit child w fb

Answer 8

• parental anxiety
• Dx unclear
• child unwell, concerned of toxic/sepsis