Febrile seizures: indications for prophylactic management

03/20/05

Febrile seizures: indications for prophylactic management

Permalink 12:49:41 am, Categories: Other drugs  

Anticonvulsant therapy is not needed in simple febrile seizures (i.e., generalised tonic clonic convulsions of less than 15 minutes duration, without recurrence within the next 24 hours or within the same febrile illness). However, prophylactic treatment may be desired if a child has one or mainly a combination of -

  • Complex febrile seizures (i.e., febrile seizures which last more than 15 minutes, have two or more recurrences within 24 hours, or show focal or unilateral features)
  • Neurological abnormalities
  • Age less than one year
  • Frequent recurrences

Ref: - Panayiotopoulos, C.P. (2002) A clinical guide to epileptic syndromes and their treatment. Oxfordshire: Bladon Medical Publishing.

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