Predictors of unprovoked seizure after febrile seizure: Short-term outcomes

Investigating the prevalence of febrile convulsion in Kayseri, Turkey: An assessment of the risk factors for recurrence of febrile convulsion and for development of epilepsy

“…Again in contrast to that study, no statistical correlation was observed between duration of fever before FC and development of epilepsy. In contrast to Hwang et al's [53] study, no correlation was determined between a history of epilepsy in the family and development of epilepsy. This may be due to a positive family history being present in only one case with epilepsy after FC in our study group and to such cases being inadequately represented in the study population.…”

“…The risk of recurrence increases with the number of risk factors. The risk of recurrence in subjects with no risk factors is approximately 14.3%, rising to 50-60% in those with more than 3 risk factors risk [3,35,[51][52][53][54][55]. Single recurrence level is cited as 40-64%, and the level for 3 or more recurrences is 9-27% [36,41,55].…”

“…The risk in children with a single simple FC is regarded as low and no different to that in the general population [3]. The most important risk factors for epilepsy after FC are regarded as neurodevelopmental abnormality, complex FC, and duration of fever before FC seizure [3,29,41,53]. Presence of more than one feature of complex FC is also regarded as a risk factor [3].…”

“…They described neurodevelopmental abnormality and the most significant prognostic factor. Hwang et al [53] assessed 204 cases and observed unprovoked seizure in 23%. They reported onset of FC seizures after the age of 3, a positive family history, abnormal EEG findings and fever <39 C as risk factors for epilepsy.…”

Febrile seizures:

“…46 Knowledge of these risk factors aid the counselling of parents, who often ask if their child is going to develop epilepsy.…”