Seizures

Question 1

What are the classifications of febrile seizures? What are the general features considered?

Answer 1

Complex vs Simple
Duration
Recurrence
Post-ictal period
Seizure activity type

Question 2

What is the most common cause of pediatric seizures?

Answer 2

Febrile seizures

Question 3

What is the age range for febrile seizures?

Answer 3

6 months to 5 years

Question 4

What are the long-term consequences of febrile seizures?

Answer 4

Rarely cause brain damage and do not indicate that the child is at risk for developing epilepsy

Question 5

What defines a simple febrile seizure from a complex?

Answer 5

1 in 24 hours
Less than 15 min
Generalized tonic-clonic (not focal)
No Todd’s paralysis

Question 6

What are the criteria for a febrile seizure?

Answer 6

1) Convulsions with temp above 38C
2) 6 months to 5 years old
3) Absence of CNS infection or inflammation
4) Absence of acute systemic metabolic abnormality that could cause seizure
5) No history of prior afebrile seizure

Question 7

What treatment can be given to a child with febrile seizure lasting longer than 5 minutes?

Answer 7

Diazepam gel or rectal suppository