True regarding febrile convulsion –
Types of febrile convulsions

Febrile convulsions may be of two types.


Simple benign
Atypical complex

1. Simple benign febrile convulsions

More common                                                           
Last less than 10 minutes      
Convulsions are generalized      
No post ictal neurological deficit   
Usually single seizure in the same day 
EEG is normal after a few days   

2. Complex, atypical febrile convulsions 

Less common 
More than one seizure in the same day
Last more than 15 minutes
Convulsions are focal             

Risk factors for recurrence

Positive family history
Atypical complex febrile convulsions
Neurodevelopmental retardation (e.g. cerebral palsy, mental retardation)
Early onset of febrile seizure (before 1 year)

Treatment of febrile seizure

Febrile convulsions are managed by prompt reduction of temperature with →

i) Antipyretics →  Paracetamole, Ibuprofen
ii) Hydrotherapy → Sponging

For seizures lasting > 5 minutes, anticonvulsants can be given -


Diazepam is the DOC
Phenobarbitone is an alternative
Carbamazepine is good drug to treat it
Patient with family h/o F.C. have increased incidence of recurrence
Longterm neurological deficits are common
Usually last for short while