Febrile seizures.
Aust Fam Physician
; 34(12): 1021-5, 2005 Dec.
Article
em En
| MEDLINE
| ID: mdl-16333484
ABSTRACT
BACKGROUND:
Febrile convulsions, or febrile seizures, are frequently encountered in paediatrics, and despite often being self limiting, these seizures strike fear in the hearts of patients' carers.OBJECTIVE:
This article reviews the assessment and management of febrile seizures in children.DISCUSSION:
The initial assessment of a child who convulses with fever should be directed at finding a cause for the fever, rather than the seizure itself, once the seizure has abated. A lumbar puncture should be performed if there is clinical suspicion of meningitis. Electroencephalograms and neuroimaging studies are not routinely indicated. Overall, febrile seizures carry a good prognosis, although one-third of children have recurrent attacks. Febrile seizures are genetic in origin. The risk of later epilepsy is small but increased if the child has a complex febrile seizure, neurological deficit, or a family history of epilepsy. Carers should be counselled in the management of seizures. The effectiveness of prophylactic treatment with medication remains controversial.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Convulsões Febris
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
Aust Fam Physician
Ano de publicação:
2005
Tipo de documento:
Article