Understanding Febrile Seizures

A Parent's Guide to Managing Fever-Related Seizures in Children

Pediatrics

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Last updated: Mar 24, 2025

What Are Febrile Seizures?

Febrile seizures are convulsions that occur in young children due to a spike in body temperature (fever). They typically affect children between 6 months and 5 years of age and are most common during the second year of life.

Types of Febrile Seizures

Simple Febrile Seizures

  • Last less than 15 minutes
  • Don't recur within 24 hours
  • Affect the entire body
  • Resolve on their own

Complex Febrile Seizures

  • Last longer than 15 minutes
  • Occur multiple times within 24 hours
  • May affect only one part of the body
  • May have a longer recovery period

Signs and Symptoms

  • Sudden loss of consciousness
  • Body stiffening
  • Twitching or jerking movements
  • Loss of bladder or bowel control
  • Brief period of confusion afterward

What to Do During a Seizure

  1. Stay calm
  2. Place the child on their side on a flat surface
  3. Remove any nearby objects
  4. Don't put anything in their mouth
  5. Time the seizure if possible
  6. Seek immediate medical attention for first-time seizures

Risk Factors

  • Family history of febrile seizures
  • Age (6 months to 5 years)
  • High fever (typically above 38°C/100.4°F)
  • Recent immunizations

Long-term Outlook

  • Most children outgrow febrile seizures
  • No lasting effects on intelligence or development
  • Small increased risk of developing epilepsy (1-2%)

When to Seek Emergency Care

  • First-time seizure
  • Seizure lasting more than 5 minutes
  • Multiple seizures occurring in 24 hours
  • Signs of severe illness

Prevention and Management

  • Monitor fever regularly
  • Use appropriate fever-reducing medications
  • Follow your doctor's recommendations
  • Keep detailed records of seizures

Follow-up Care

  • Regular check-ups with pediatrician
  • Maintain fever diary
  • Document any seizure activity
  • Discuss concerns with healthcare provider

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