Clinical Pearl of the Day: Febrile Seizures
A febrile seizure is a convulsion in a child that's caused by a fever.
- The fever is often from an infection.
- Febrile seizures occur in young, healthy children who have normal development and haven't had any neurological symptoms before.
- Symptoms may include fever higher than 100.4 F, loss of consciousness, and shaking/jerking of the arms and legs
- Febrile seizures can be either simple or complex:
- Simple febrile seizures. This most common type lasts from a few seconds to 15 minutes. Simple febrile seizures do not recur within a 24-hour period and are not specific to one part of the body.
- Complex febrile seizures. This type lasts longer than 15 minutes, occurs more than once within 24 hours, or is confined to one side of the child's body.
- Risk factors may include young age and having a history of seizures in the family.
- Diagnosis may include blood test, urine test, and spinal tap.
- Treatment may include placing the child on their side on a soft, flat surface, start timing the seizures, stay close to watch and comfort the child, don’t put anything in the child’s mouth, and call for emergency back up.