Disease sexually transmitted:

Visceral syphilis

Febrile convulsions in children

  • What are Febrile convulsions in children
  • What triggers / Causes of Febrile seizures in children
  • Symptoms of Febrile convulsions in children
  • Diagnosis of Febrile seizures in children
  • Treatment of Febrile seizures in children
  • Which doctors should be consulted if You have Febrile convulsions in children

What are Febrile convulsions in children -

Febrile convulsions – children up to 6 years, in which the body temperature of the plants to the level of 38 °C and above, while history does not indicate afebrile convulsions and other likely causes. The diagnosis is made only when other causes of seizures were excluded. In a fit of convulsions, which lasts a maximum of 15 minutes, you will need maintenance treatment. In convulsions from 15 minutes injected lorazepam intravenously and, if no effect, intravenous phosphenytoin. For long supporting treatment drugs in febrile convulsions in children is not used.

What triggers / Causes of Febrile seizures in children:

Febrile convulsions occur, according to various sources, 2-5 children aged up to 6 years. Most of the cases recorded in children from 6 to 18 months. The duration of simple febrile seizures last less than 15 minutes, focal symptoms were not identified. If they appear in a series, the duration from half an hour.

Febrile seizures are considered complex if last from 15 minutes. This record postprimary paresis or focal symptoms. Or convulsions may appear a series of half an hour. More than 90 febrile convulsions simple.

Causes of febrile convulsions become bacterial or viral infection. Also there is the likelihood of their development after vaccination of the child, for example, DTP (tetanus toxoid, diphtheria toxoid, and pertussis) or after triactive (mumps, rubella, measles). At risk are children whose family history indicates febrile seizures, there is a genetic predisposition. High concordance in monozygotic twins compared with dizygotic.

Symptoms of Febrile convulsions in children:

In frequent cases, febrile seizures occur during the initial rise of temperature, they mostly appear on the first day of the febrile rise in body temperature. Typical generalized convulsions, mostly they clonic, but some may manifest as tonic or atonic position of the body of the child.

If a baby from birth to 6 months notice meningeal symptoms or manifestations of the oppression of the Central nervous system or the development of seizures after 3-5 days febrile fever, doctors are taking for the study of cerebrospinal fluid to rule out meningitis and encephalitis.

At the beginning of the seizure, the child loses consciousness, after a while his arms, legs and the whole body loses its flexibility, becomes salereviews. Thus the head folded back. This is followed by rhythmic jerking of arms and legs. Skin tone with febrile seizures in children may be pale, sometimes with a bluish tint. Basically febrile spasm ends after 2-5 minutes, then the consciousness to the kid returns, but weakness in the body. Skin color is also normalized.

Febrile convulsions in children

Diagnosis of Febrile seizures in children:

Diagnosis of febrile seizures in children is quite complicated. Cramps and fever can be, as already noted, with encephalitis and meningitis in children. Because when the diagnosis is necessary, first of all, to eliminate these diseases. The child is examined by a pediatric neurologist. Also differential diagnosis is epilepsy.

Doctors may prescribe these studies:

  • analysis of cerebrospinal fluid
  • biochemical and General analysis of blood
  • biochemical and urine analysis
  • nuclear magnetic resonance or CT
  • EEG
  • lab tests for metabolic disorders

For the diagnosis may need to determine the level of sodium, glucose, magnesium, phosphorus, calcium. Also check the functioning of the kidneys and liver, if the patient were not so long ago vomiting, diarrhea or he was getting enough water. By fixing the focal neurological symptoms or signs of increased intracranial pressure apply such diagnostic methods like MRI or CT scan of the brain.

The EEG does not provide the reason and does not allow the prediction of the recurrence of seizures. This method is used after the first attack of febrile seizures in children, and if neurological examination showed normal. Often the EEG and the child is prescribed after recurrent or complex febrile seizures.

ru/" target="_blank">Treatment of Febrile seizures in children:

In attacks from 1 to 15 minutes necessary supportive therapy. Need medication if your child has febrile seizures from 15 minutes. Drugs help mild attack. At their reception need careful breath control and dynamics of blood. In some cases resort to intubation, if the drugs are not cropped convulsions.

Recommended intravenous drugs from febrile convulsions. Effective short-acting benzodiazepines, such as lorazepam dosage 0.05-0.1 mg per 1 kg of a child's body. It can be administered again after 5 minutes. Maximum – 3 introduction. The equivalent of phenytoin is Phosphenytoin. Needed dose of 15-20 mg PE per 1 kg of a child's body. Is entered after 15 minutes in the event of sustained seizures.

Effective rectal gel diazepam. The dosage is calculated as 0.5 mg/kg, administered 1 time, repeat after 20 minutes in cases where lorazepam should not be administered intravenously. Support drug treatment for the prevention of recurrent seizures is not used. It can be applied with prolonged or multiple febrile seizures in children.

Forecast

Repeated febrile convulsions in children account for about 35 . There is the likelihood of recurrence at the age of 12 months (at the time of the first case of seizures) or if the patient's next of kin had history of febrile seizures. There is a possibility of 2 to 5 that after febrile seizures will develop afebrile seizures.

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Febrile convulsions in children

Which doctors should be consulted if You have Febrile seizures in children:

Pediatrician

Neurologist

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More in this category: « Hydrocephalic syndrome in children Asphyxia of the newborn »

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