The Febrile Convulsion

Febrile convulsions occur in the immature brain as a response to high fever, probably as a result of water and electrolyte disturbance. No particular infection can be incriminated. Usually occurs between 6 months and 3 years of age. Rare after 5 years of age. Recurrent in 50% of patients.

Long-term follow up suggests a liability to develop seizures in later life (unassociated with fever) especially in males, when seizures are prolonged and have focal features.

Treatment is aimed at preventing a prolonged seizure by sponging the patient and using rectal diazepam.

The role of prophylaxis after one seizure is debatable. 101

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