First febrile seizures. Characteristics of the child, the seizure, and the illness.
Through interviews with parents, data were gathered about 910 first febrile seizures in children aged 8 to 34 months. A male preponderance of 57% was found (P < .001). In 29% of cases, there was a family history of febrile seizures. Eighteen percent of seizures were focal, and 7% lasted 15 minutes or more. Focal seizures were much more likely to be of long duration (P < .001). Otitis media was diagnosed in 32% of cases, and tonsillitis or upper respiratory infection in 12%. When compared to febrile seizures after the first birthday, febrile seizures in children aged 8 to 11 months were more than twice as likely to be longer than 15 minutes (P = .015). They were also much more likely to be followed by further seizures in the same illness (P < .001). Thus, febrile seizures in children younger than 1 year are more likely to have the characteristics known to increase the risk of later nonfebrile seizures.
Farwell
J R
JR
Department of Neurological Surgery, Children's Hospital and Medical Center, University of Washington School of Medicine, Seattle.
Blackner
G
G
Sulzbacher
S
S
Adelman
L
L
Voeller
M
M
D000367:Age Factors; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010033:Otitis Media / Q000150:complications / Q000453:epidemiology; D012141:Respiratory Tract Infections / Q000150:complications / Q000453:epidemiology; D012306:Risk; D003294:Seizures, Febrile / Q000453:epidemiology* / Q000209:etiology; D012737:Sex Factors; D013997:Time Factors; D014069:Tonsillitis / Q000150:complications / Q000453:epidemiology