EEG for children with complex febrile seizures

Shah, Pankaj B.; James, Saji; Elayaraja, S

doi:10.1002/14651858.cd009196.pub4

Cited by 16 publications

(5 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 4 , 45 , 90 A 2017 Cochrane systematic review found no randomized controlled trials to refute or support the use of EEG and its timing after complex febrile seizures. 91 …”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Febrile seizures: an overview

Leung¹,

Hon²,

Leung³

2018

DIC

178

186

View full text Add to dashboard Cite

BackgroundFebrile seizures are the most common neurologic disorder in childhood. Physicians should be familiar with the proper evaluation and management of this common condition.ObjectiveTo provide an update on the current understanding, evaluation, and management of febrile seizures.MethodsA PubMed search was completed in Clinical Queries using the key terms ‘febrile convulsions’ and ‘febrile seizures’. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews.ResultsFebrile seizures, with a peak incidence between 12 and 18 months of age, likely result from a vulnerability of the developing central nervous system to the effects of fever, in combination with an underlying genetic predisposition and environmental factors. The majority of febrile seizures occur within 24 hours of the onset of the fever. Febrile seizures can be simple or complex. Clinical judgment based on variable presentations must direct the diagnostic studies which are usually not necessary in the majority of cases. A lumbar puncture should be considered in children younger than 12 months of age or with suspected meningitis. Children with complex febrile seizures are at risk of subsequent epilepsy. Approximately 30–40% of children with a febrile seizure will have a recurrence during early childhood. The prognosis is favorable as the condition is usually benign and self-limiting. Intervention to stop the seizure often is unnecessary.ConclusionContinuous preventative antiepileptic therapy for the prevention of recurrent febrile seizures is not recommended. The use of intermittent anticonvulsant therapy is not routinely indicated. Antipyretics have no role in the prevention of febrile seizures.

show abstract

“… 4 , 45 , 90 A 2017 Cochrane systematic review found no randomized controlled trials to refute or support the use of EEG and its timing after complex febrile seizures. 91 …”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Febrile seizures: an overview

Leung¹,

Hon²,

Leung³

2018

DIC

178

186

View full text Add to dashboard Cite

show abstract

“…In cases in which an EEG is performed, the EEG should be done at least 48 h after the FS to avoid confusing post-ictal electrical activities with abnormal electrical activities [ 14 , 27 , 28 ]. In addition, Harini et al found that EEG slowing was not a significant predictor of epilepsy.…”

Section: Diagnosismentioning

confidence: 99%

“…The child can be discharged after a period of observation in the ED, preferably six hours after the episode. Most FS episodes are short-lived and self-terminating and do not require long-term treatment with antiepileptic drugs [ 27 ]. In a child who is still convulsing at presentation to the ED, indications for giving antiepileptic drugs are seizures lasting more than 5 min, febrile SE, and recurrent seizures.…”

Section: Managementmentioning

confidence: 99%

Management of Pediatric Febrile Seizures

Laino

Mencaroni

Esposito

2018

IJERPH

View full text Add to dashboard Cite

Febrile seizures (FS), events associated with a fever in the absence of an intracranial infection, hypoglycaemia, or an acute electrolyte imbalance, occur in children between six months and six years of age. FS are the most common type of convulsions in children. FS can be extremely frightening for parents, even if they are generally harmless for children, making it important to address parental anxiety in the most sensitive manner. The aim of this review was to focus on the management of FS in the pediatric age. An analysis of the literature showed that most children with FS have an excellent prognosis, and few develop long-term health problems. The diagnosis of FS is clinical, and it is important to exclude intracranial infections, in particular after a complex FS. Management consists of symptom control and treating the cause of the fever. Parents and caregivers are often distressed and frightened after a FS occurs and need to be appropriately informed and guided on the management of their child’s fever by healthcare professionals. Due to the inappropriate use of diagnostic tests and treatments, it is extremely important to improve the knowledge of pediatricians and neurologists on FS management and to standardize the diagnostic and therapeutic work-up.

show abstract

“…While some studies have demonstrated that an epileptiform EEG was not a sensitive measure and had a poor positive predictive value for the development of epilepsy among neurologically healthy or mildly delayed children with a first complex FS [ 61 , 62 ], others have found that epileptiform discharges on EEGs are predictive risk factors for the development of epilepsy [ 63 , 64 ]. A recent Cochrane review did not find any randomized controlled trials (RCTs) as evidence to support or refute the use of EEG and its timing after complex FS among children [ 65 ].…”

Section: Diagnostic Assessmentsmentioning

confidence: 99%

Best practices for the management of febrile seizures in children

Ferretti,

Riva,

Fabrizio

et al. 2024

Ital J Pediatr

View full text Add to dashboard Cite

Febrile seizures (FS) are commonly perceived by healthcare professionals as a self-limited condition with a generally ‘benign’ nature. Nonetheless, they frequently lead to pediatric consultations, and their management can vary depending on the clinical context. For parents and caregivers, witnessing a seizure can be a distressing experience, significantly impacting their quality of life. In this review, we offer an in-depth exploration of FS management, therapeutic interventions, and prognostic factors, with the aim of providing support for physicians and enhancing communication with families. We conducted a comprehensive literature search using the PubMed and Web of Science databases, spanning the past 50 years. The search terms utilized included “febrile seizure,” “complex febrile seizure,” “simple febrile seizure,” in conjunction with “children” or “infant.” Only studies published in English or those presenting evidence-based data were included in our assessment. Additionally, we conducted a cross-reference search to identify any additional relevant data sources. Our thorough literature search resulted in a compilation of references, with carefully selected papers thoughtfully integrated into this review.

show abstract

EEG for children with complex febrile seizures

Cited by 16 publications

References 44 publications

Febrile seizures: an overview

Febrile seizures: an overview

Management of Pediatric Febrile Seizures

Best practices for the management of febrile seizures in children

Contact Info

Product

Resources

About