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Seizures, Febrile

Reviewed 06/2019
 


BASICS

DESCRIPTION

Febrile seizures occur in children aged 6 months to 5 years with fever ≥100.4°F (38°C) and absence of underlying neurologic abnormality, metabolic condition, or intracranial infectio...

DIAGNOSIS

HISTORY

  • History of present illness:

    • Description of seizure:

      • Febrile seizures are generalized with clonic or tonic–clonic activity.

      • Absence, myoclonic, atonic, and focal seizures are atypical of ...

TREATMENT

GENERAL MEASURES

  • Acute seizure management

    • Airway: Position the patient laterally, suction secretions, and place a nasopharyngeal airway if necessary.

    • Breathing: Administer oxygen for cyanosis; ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Anticonvulsant prophylaxis during subsequent febrile episodes:

    • The American Academy of Pediatrics recommends against prophylaxis with anticonvulsants due to an una...

REFERENCES

1
Whelan H, Harmelink M, Chou E, et al. Complex febrile seizures—a systematic review. Dis Mon.  2017;63(1):5–23. [View Abstract on OvidMedline]
2
Kimia AA, Bachur RG, Torres A, et al. Feb...

ADDITIONAL READING

Subcommittee on Febrile Seizures, American Academy of Pediatrics. Neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics.  2011;127(2):389–394. [View...

CODES

ICD10

  • R56.00 Simple febrile convulsions

  • R56.01 Complex febrile convulsions

  • G40.901 Epilepsy, unsp, not intractable, with status epilepticus

ICD9

  • 780.31 Febrile convulsions (simple), unspecified

  • 780.32...

CLINICAL PEARLS

  • Febrile seizures are generally benign, and families can be reassured that children are at low risk of death, subsequent development of epilepsy, and learning or behavioral abnormalitie...

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