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afya FebrileConvulsions

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20160425222533 Ben  
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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%)