True regarding febrile convulsion –
Correct Answer: Patient with family h/o F.C. have increased incidence of recurrence
Description: Types of febrile convulsions
Febrile convulsions may be of two types.
Simple benign
Atypical complex
1. Simple benign febrile convulsions
More common
Last less than 10 minutes
Convulsions are generalized
No post ictal neurological deficit
Usually single seizure in the same day
EEG is normal after a few days
2. Complex, atypical febrile convulsions
Less common
More than one seizure in the same day
Last more than 15 minutes
Convulsions are focal
Risk factors for recurrence
Positive family history
Atypical complex febrile convulsions
Neurodevelopmental retardation (e.g. cerebral palsy, mental retardation)
Early onset of febrile seizure (before 1 year)
Treatment of febrile seizure
Febrile convulsions are managed by prompt reduction of temperature with →
i) Antipyretics → Paracetamole, Ibuprofen
ii) Hydrotherapy → Sponging
For seizures lasting > 5 minutes, anticonvulsants can be given -
Diazepam is the DOC
Phenobarbitone is an alternative
Category:
Pediatrics
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