Recommendations for the management of “febrile seizures” Ad hoc Task Force of LICE Guidelines Commission

Abstract

SUMMARYFebrile seizures are the most common seizure disorder in childhood, affecting 2-5% of children. Simple febrile seizure is defined as a short (<15 min) generalized seizure, not recurring within 24 h, that occurs during a febrile illness not resulting from an acute disease of the nervous system in a child aged between 6 months and 5 years, with no neurologic deficits and no previous afebrile seizures. These recommendations address the instructions for management of the first febrile seizures, giving criteria for hospital admission, diagnosis, differential diagnosis, and treatment of a prolonged seizure. The authors stressed the benign prognosis of the majority of cases and the risk factors for recurrence of febrile seizures and appearance of epilepsy later on. Both continuous and intermittent anticonvulsant therapy are efficacious in preventing single febrile seizures, but side effects may be so important to overcome the benefits. These treatments are indicated in very selected patients.

Facial emotion recognition in childhood: The effects of febrile seizures in the developing brain

“…However, there was no clinical indication to perform MRI in this group of children [39] and, because of ethical issues, a brain MRI study has not been proposed.…”

“…Demographic variables of the two groups are reported in Table 1; neither the age at the time of testing (ANOVA) nor gender and handedness distributions (chi-square test) were significantly different between groups. For the FS group, the characteristics of FSs were reported, in order to be classified as 'simple' or 'complex' [2,38,39], along with the age at the first episode and the number of episodes (see Table 1). Twenty-one out of 38 (55.3%) children experienced a single episode, more than 80% (31/38) of episodes were classified as simple, and only seven patients experienced at least one episode classified as complex, being focal (4/38) and/or prolonged (4/38) and/or drug-interrupted (2/38).…”

Selected aspect of the epidemiology of febrile seizures in chil dren

“…Z kolei w grupie pacjentów w wieku 0-4 lata zachorowalność w krajach europejskich waha się od 250 do 500 na 100 000 na rok [1][2][3][4][5][6][7][8][9].…”

Fever-induced seizures: where are we today?

“…Treći kriterij uključuje recidivne konvulzije tijekom 24 sata ili tijekom iste febrilne bolesti. Ne postoji konsenzus oko pitanja treba li dijete s produljenim konvulzijama koje su zaustavljene s antikonvulzivnom terapijom (diazepam) prije 15. minute klasificirati u prvu skupinu 4 . Febrilni epileptički status je podtip složenih FK-a, definiran trajanjem dužim od 30 minuta, javlja se u samo 5 % djece s febrilnim konvulzijama 6,8 .…”