Febrile convulsions
(B) Show an increase in familial incidence # Characteristics of simple benign febrile convulsions:> Fits occurs within 24 hour of the onset of fever, last less than 10 minutes, usually single per febrile episode.> Convulsions are generalized, a small proportion (4-18%) of case may show focal convulsions.> There is no postictal neurological deficit and electroencephalogram a few days after the seizure is normal.> There may be a family history of febrile convulsions in the sibling.> Febrile convulsions are unusual before the age of six months and after 5 years.> Vast majority of patients do not require treatment for either their acute presentation with a seizure or for recurrences.>Best way to manage is to control the temperature with acetaminophen (Paracetamol) or by sponging. When anticonvulsant therapy is judged by a doctor to be indicated, anticonvulsants can be prescribed.> Sodium valproate or clonazepam are active against febrile seizures, with sodium valproate showing superiority over clonazepam.
Are best treated with Sodium Valproate
Show an increase in familial incidence
May associates with low fever
Occur in 2-5% of children
Miscellaneous