[Febrile seizures--an update].
Febrile seizures are most common seizures in childhood (2-4%). Children with simple febrile seizures only have a slightly increased risk of epilepsy. Recurrences are common. Diagnostic ascertainment is easy, most evaluations simple, diagnostic routine schedules almost not necessary. Prophylactic antipyretic or anticonvulsant therapies are not recommended. Administration of rectal diazepam at home in case of recurrence is useful. Adequate therapeutical approach also includes physicians guidance and information for the dramatically frightened parents who think their child was about to die. Only complex febrile seizures with high risk of subsequent epilepsy may indicate intermittent diazepam prophylaxis or even continuous anticonvulsant treatment in case of a beginning epileptic syndrome.
Katholisches Kinderkrankenhaus Wilhelmstift GmbH, Hamburg. b.puest@kkh-wilhelmstift.de
Burkhard
B
Püst
D000284:Administration, Oral; D000285:Administration, Rectal; D000367:Age Factors; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D000927:Anticonvulsants / Q000008:administration & dosage / Q000627:therapeutic use; D002675:Child, Preschool; D003975:Diazepam / Q000008:administration & dosage / Q000627:therapeutic use; D004827:Epilepsy / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D010634:Phenobarbital / Q000008:administration & dosage / Q000627:therapeutic use; D012008:Recurrence; D012307:Risk Factors; D003294:Seizures, Febrile / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control; D013997:Time Factors
D018712:Analgesics, Non-Narcotic; D000927:Anticonvulsants; D003975:Diazepam; D010634:Phenobarbital