EEG for children with complex febrile seizures

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

doi:10.1002/14651858.cd009196.pub5

Cited by 9 publications

(10 citation statements)

References 45 publications

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“…EEG is generally indicated in the case of a first afebrile seizure in children . Conversely, EEG is not recommended for febrile seizure, although there is not enough evidence to support or refute its use after complex febrile seizure in children …”

Section: Discussionmentioning

confidence: 99%

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

Sartori

Nosadini

Tessarin

et al. 2018

Develop Med Child Neuro

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Seizures were 'unprovoked' in 19.4% and 'provoked' in 80.6% of children presenting to the emergency department. At 4-year follow-up, 37.9% relapsed, and 13.6% received a diagnosis of epilepsy. 'Unprovoked' first seizure, family history of febrile seizures, and pre-existing neurological conditions were associated with recurrence. 'Unprovoked' first seizure, age younger than 6 years, and pre-existing neurological conditions were associated with epilepsy diagnosis.

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Section: Discussionmentioning

confidence: 99%

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

Sartori

Nosadini

Tessarin

et al. 2018

Develop Med Child Neuro

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“…The aim of this Cochrane Review 1 was: (1) to evaluate the use of EEG for children younger than 5 years of age with a first episode of complex febrile seizure; and (2) to assess the timing of EEG after complex febrile seizure by including the evidence from parallel group randomized controlled trials.…”

Section: Eeg For Children With Complex Febrile Seizures1mentioning

confidence: 99%

“…The aim of this commentary is to discuss from a rehabilitation perspective the published Cochrane Review ‘EEG for children with complex febrile seizures’ 1 by Shah et al., under the direct supervision of the Cochrane Epilepsy Group. This Cochrane Corner is produced in agreement with Developmental Medicine & Child Neurology by Cochrane Rehabilitation.…”

mentioning

confidence: 99%

What is the role of electroencephalograms for children with complex febrile seizures? A Cochrane Review summary with commentary

Çapan

2021

Develop Med Child Neuro

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“…[30][31][32] The conflicting results between different studies and lack of gold standard randomized trials about utilization and timing of EEG after CFS preclude drawing meaningful conclusions. 33 It still appears reasonable to obtain EEGs in patients with persistent alteration in consciousness after the seizure, to rule out subclinical or electrographic status epilepticus. After a prolonged or focal seizure, EEG can offer some prognostic information about acute injury or provide an indication for neuroimaging 18 and may suggest specific etiology, such as the presence of lateralized periodic discharges in patients with herpesvirus encephalitis.…”

Section: Electroencephalographymentioning

confidence: 99%

Complex Febrile Seizures: An Update

Vidaurre

2019

J Pediatr Epilepsy

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Febrile seizures are the most common seizures in childhood. Febrile seizures are divided into two groups: simple and complex. Simple febrile seizures (SFS) are generalized, short, and occur only once in 24 hours. Complex febrile seizures are prolonged, focal, or repeat more than once in 24 hours. Around 35% of children experience complex features as part of their initial seizure event. These children have more chances of complex recurrences than children with SFS. While the guidelines for SFS remain clear, there are no clear guidelines for the evaluation of children with complex febrile seizures. The conflicting results about electroencephalography (EEG) utilization preclude drawing meaningful conclusions. An EEG can be obtained in children with persistent alteration of consciousness after the seizure, and emergent neuroimaging is not required in most cases. Due to low incidence of bacterial meningitis in the post-vaccination era, it is reasonable to perform lumbar puncture (LP) only if there is clinical concern for central nervous system infection. LP should also be considered in children between 6 and 12 months of age with incomplete or unknown vaccination status or who have been previously treated with antibiotics. Further, antipyretics are used to make children more comfortable during the febrile process, but are ineffective in reducing the rate of seizure reoccurrence. Continuous antiepileptic therapy and intermittent oral diazepam are effective in the prevention of subsequent febrile seizures, but they do not reduce the risk of epilepsy and have potential unwanted side effects. In specific circumstances, the benefits of antiseizure medications may outweigh the risks. Treatment may be a consideration in cases of febrile status: patients with electroclinical features suggesting a specific epilepsy syndrome or children with limited access to health care services.

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EEG for children with complex febrile seizures

Cited by 9 publications

References 45 publications

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

What is the role of electroencephalograms for children with complex febrile seizures? A Cochrane Review summary with commentary

Complex Febrile Seizures: An Update

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