Simple Febrile Seizures in Children Flashcards
What is the typical history associated with simple febrile seizures in children?
Seizure occurring with fever in a child aged 6 months to 5 years. Generalized tonic-clonic activity. Lasts less than 15 minutes. No previous afebrile seizures.
What are the key physical examination findings in simple febrile seizures in children?
Normal neurological exam post-seizure. Fever present. No signs of central nervous system infection or other causes of seizures.
What investigations are necessary for diagnosing simple febrile seizures in children?
Clinical diagnosis based on history and physical exam. No routine neuroimaging or EEG required. Consider lumbar puncture if signs of meningitis.
What are the non-pharmacological management strategies for simple febrile seizures in children?
Educate parents about the benign nature of simple febrile seizures. Ensure safety during seizure: place child on their side, clear area of hazards. Monitor temperature and manage fever with antipyretics.
What are the pharmacological management options for simple febrile seizures in children?
Antipyretics (e.g., acetaminophen, ibuprofen) to manage fever. No anticonvulsant therapy for simple febrile seizures.
What are the red flags to look for in simple febrile seizure patients?
Seizure lasting longer than 15 minutes. Focal neurological signs. Recurrent seizures within 24 hours. Signs of central nervous system infection.
When should a patient with simple febrile seizures be referred to a specialist?
Atypical febrile seizures (e.g., focal, prolonged). Recurrent febrile seizures. Developmental concerns or abnormal neurological exam. Uncertain diagnosis.
What is one key piece of pathophysiology related to simple febrile seizures?
Fever lowers the seizure threshold in susceptible children. Likely involves genetic predisposition. Generally benign with a good prognosis.
