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afya
FebrileConvulsions
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> seizures provoked by fever in otherwise normal children. occur between 6/12 and 5y seen in 3% of children ''Clinical features'' usually occur early in a viral infection as the temperature rises rapidly (antipyretics don't change chance of fit) seizures are usually brief, lasting less than 5 minutes may be generalised tonic or tonic-clonic ''Prognosis'' risk of further febrile convulsion = 1/3 (higher if family history) if recurrences, try teaching mother how to use rectal diazepam if no focal signs + lasts less than 30 minutes (?15) + single seizure = 1% risk of developing epilepsy in the <1% who have all these features, risk of developing epilepsy is much higher (e.g. 50%)
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