Seizures can be with or without fever. It is the name we give to the events experienced by the child, such as convulsions, convulsions, and tremors. However, among the public, it is called "referring to fire", which is wrong.
Febrile Seizures (AH) are seizures that occur with fever in the 3-month-5 age group. It is seen in 4-5% of children. Most are less than 10 minutes. It is most common between 18-22 months (the earliest is 1 month old, there is no upper age limit). It is more common in boys. Armpit fever is above 37.8 degrees. It often occurs 1-2 hours after the fever rises. Rarely, it can be seen after 24 hours. Fever that lasts for a long time is a more important risk factor than sudden fever. It is frequently seen with upper respiratory tract infection, urinary tract infection, and after vaccination. Genetic predisposition is important.
It can be simple or complicated. Simple AH is not unilateral, lasts less than 15 minutes, does not recur on the same day, there is a family history of FS and the axillary fever is above 38.5 degrees.
Complicated AH is longer than 15 minutes, the fever is less high, recurs on the same day. , contractions are unilateral and can be seen in people under 3 months or over 5 years of age.
In the recurrence of febrile seizures, the first AH should be under 18 months, there should be AH in the family, AH should occur when the fever is partially at a lower temperature, and Duration of fever less than 1 hour before AH is a definite risk factor. Having a family history of epilepsy is not a risk factor for AD recurrence. In the development of epilepsy, the number of risks, not the number of AD, is important.
The most important factor that plays a role in the recurrence of AD or the development of epilepsy is the duration of the febrile period.
In the development of epilepsy, complicated AD, epilepsy in the family. Presence, duration of fever and retardation in neurological development are definite risk factors.
The risk of recurrence is 1-2% in simple AD and 4-6% in complicated AD.
All The risk of epilepsy for ages is 0.5-1%. While this rate is 1% in simple AH, it is 6% in complicated AH.
Is Brain Electrometry Required in Febrile Convulsions?
In Every AH EEG (Electroencephalography) is not required.
We do not require EEG in simple AD. In addition, EEG cannot show us the risk of turning into epilepsy or when the seizure will recur.
Suggestions for families:
The child with FC should reduce fever during the febrile period. Third, it should be followed by wet application. Bathing should be done with warm water, as cold application will prevent heat loss. In addition, in those who are at risk of recurrence of AH, have a history of long-lasting or multiple FS, and are far from a healthcare institution, use the medication at the dose recommended by the doctor, during the transfer or in the first 48 hours of the febrile period, without an armpit fever of 38 degrees, a total of 4 times with an interval of 12 hours. is recommended.
If the risk of recurrence of AD is very high and the family is very worried, prophylaxis (protection) may be recommended by giving oral medication regularly every day for about 1-2 years.
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