Febrile Convulsions

Question 1

At what ages do febrile convulsions usually occur?

Answer 1

6 months to 5 years

Question 2

What % of children are they seen in?

Answer 2

3%

Question 3

What are some clinical features of febrile convulsions?

Answer 3

• 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 + single seizure then 1% risk of developing epilepsy
• In the <1% who have all these features, risk of developing epilepsy is much higher (e.g. 50%)