New guidelines for management of febrile seizures in Japan.
In 2015, the Japanese Society of Child Neurology released new guidelines for the management of febrile seizures, the first update of such guidelines since 1996. In 1988, the Conference on Febrile Convulsions in Japan published "Guidelines for the Treatment of Febrile Seizures." The Task Committee of the Conference proposed a revised version of the guidelines in 1996; that version released in 1996 was used for the next 19years in Japan for the clinical management of children with febrile seizures. Although the guidelines were very helpful for many clinicians, new guidelines were needed to reflect changes in public health and the dissemination of new medical evidence. The Japanese Society of Child Neurology formed a working group in 2012, and published the new guidelines in March 2015. The guidelines include emergency care, application of electroencephalography, neuroimaging, prophylactic diazepam, antipyretics, drugs needing special attention, and vaccines. While the new guidelines contain updated clinical recommendations, many unsolved questions remain. These questions should be clarified by future clinical research.
Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Developmental Disability Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. Electronic address: junnatsu@med.nagoya-u.ac.jp.
Jun
J
Natsume
Division of Neurology, Saitama Children's Medical Center, Saitama, Japan.
Shin-Ichiro
SI
Hamano
Fukuyama Support Center of Development and Care for Children, Fukuyama, Japan.
Kuniaki
K
Iyoda
Department of Pediatrics, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.
Hideaki
H
Kanemura
Division of Neurology, National Center for Child Health and Development, Tokyo, Japan.
Masaya
M
Kubota
Department of Pediatrics, Teikyo University School of Medicine, Tokyo, Japan.
Masakazu
M
Mimaki
Department of Pediatrics, Juntendo University Nerima Hospital, Tokyo, Japan.
Shinichi
S
Niijima
Tanabe Children's Clinic, Osaka, Japan.
Takuya
T
Tanabe
Department of Child Neurology, Okayama University Graduate Schools of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Harumi
H
Yoshinaga
Department of Public Health, Tokyo Women's Medical University, Tokyo, Japan.
Noriko
N
Kojimahara
Department of Child Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.
Hirohumi
H
Komaki
Department of Child Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.
Kenji
K
Sugai
Department of Pediatrics, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tokiko
T
Fukuda
Division of Child Neurology, Faculty of Medicine, Tottori University, Tottori, Japan.
Yoshihiro
Y
Maegaki
Faculty of Health and Medical Sciences, Tokoha University Hamamatsu Campus, Hamamatsu, Japan.
Hideo
H
Sugie
D006801:Humans; D007564:Japan; D010372:Pediatrics / Q000379:methods; D017410:Practice Guidelines as Topic; D003294:Seizures, Febrile / Q000628:therapy*
Antihistamine; Antipyretics; Diazepam; Electroencephalogram; Lumbar puncture; Midazolam; Status epilepticus; Theophylline; Vaccine