Unprovoked seizures after complex febrile convulsions

Children with complex febrile convulsions bear a higher risk of developing epilepsy than children with simple febrile convulsions. Complex febrile convulsions are defined by the presence of prolonged seizures, partial seizures and multiple seizures occurring during the same day. The aim of this stud...

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Bibliographic Details
Published in:Brain & development (Tokyo. 1979) 2000-12, Vol.22 (8), p.484-486
Main Authors: Sapir, Daniel, Leitner, Yael, Harel, Shaul, Kramer, Uri
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Complex
Convulsions
Epilepsy - diagnosis
Epilepsy - epidemiology
Epilepsy - etiology
Febrile
Follow-Up Studies
Humans
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Prognosis
Risk Factors
Seizures
Seizures, Febrile - complications
Seizures, Febrile - diagnosis
Seizures, Febrile - epidemiology
Tropical medicine
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Summary:Children with complex febrile convulsions bear a higher risk of developing epilepsy than children with simple febrile convulsions. Complex febrile convulsions are defined by the presence of prolonged seizures, partial seizures and multiple seizures occurring during the same day. The aim of this study is to delineate the relative significance of each of the three criteria defining complex febrile convulsions. Fifty-seven out of 477 children (12%) admitted for febrile convulsions had complex febrile convulsions and normal neurological examination. Follow-up was available for 48 (84%) of them. Thirteen of these 48 (27%) had epilepsy at follow-up. The mean age of seizure onset among the patients with subsequent afebrile seizures was significantly lower than the rest (10.8 months versus 16.8 months). The patients with partial febrile convulsions showed a trend toward a higher risk (45%) of developing epilepsy than the patients with multiple febrile convulsions (21%).
ISSN:0387-7604
1872-7131
DOI:10.1016/S0387-7604(00)00187-X