Febrile convulsions: acute seizure characteristics and anti-convulsant therapy.
A descriptive study using data from the medical records of 448 children with febrile convulsion was carried out to determine the seizure characteristics and use of anti-convulsant therapy for febrile convulsions in a Malaysian hospital. There was a higher incidence of multiple seizures and a lower incidence of focal seizures in the local population than in studies done among Western populations. The majority of initial seizures occurred within 24 h of fever onset. Transient neurological abnormalities following an acute seizure were common. A quarter of children referred by general practitioners had been given anti-convulsants prior to referral but up to 20% of general practitioners had used ineffective routes for administering diazepam. However, diazepam used in the hospital was found to be effective in controlling acute febrile seizures.
Ling
S G
SG
Department of Paediatrics, University of Malaya Medical Centre, Kuala Lumpur, Malaysia. shihgang@tm.net.my
D000208:Acute Disease; D000927:Anticonvulsants / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003975:Diazepam / Q000627:therapeutic use; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D008296:Malaysia; D008297:Male; D012189:Retrospective Studies; D003294:Seizures, Febrile / Q000188:drug therapy* / Q000208:ethnology*
D000927:Anticonvulsants; D003975:Diazepam