Febrile seizures

Febrile seizures

Seizures/convulsions/fits/akdi/mirgi, we are all familiar with all these terms but having experienced it must have not been, less than a nightmare. 

Febrile seizures are the most common provoked seizures affecting 3 to 5% of children from 6 months to 5 years of age.

Silicone tip thermometer

These are seizures occurring during an episode of fever, in the above mentioned age group, in the absence of any infection of the central nervous system in a neurologically normal child.

Why do febrile seizures occur?

  • The convulsions are genetically determined.
  • They are not related to the degree of temperature rise, but are frequent if temperature rises abruptly.

medicine box

Types of febrile seizures.

  1. Simple- occur within 24 hrs of the onset of fever, last less than 15 mins, and the child is normal after the episode.
  2. Atypical- presence of family history of epilepsy, neurodevelopmental retardation, future risk of epilepsy.

Signs of a seizure episode-

  1. Child has fever
  2. Suddenly turns red or blue
  3. Arms and limbs show jerking movement
  4. Loss of consciousness
  5. Irregular,loud breathing
  6. Eyes rolling upwards
  7. Clusters of sudden, uncontrolled, repeated movements of the body
  8. Head bobbing

Do not-

  1. Insert a spoon wrapped in a cloth in the baby’s mouth.
  2. Insert any other object in the baby’s mouth to prevent tongue bite 
  3. Make the baby sniff onion or worse- chappal. 

Do this-

  1. Bring the baby in an open space like the centre of the room(during and after the seizure) away from furniture to prevent any injury.
  2. Place the baby on his/her side during the seizure and even after. This prevents the tongue from blocking the airway, also helps the removal of pooled secretions.
  3. Rush to the nearest hospital. Do not wait for the child to regain consciousness.

                     Ice packs for kids

Prophylaxis/prevention of febrile seizures-

  1. With the onset of fever,the parent should be alert
  2. Measure and chart the baby’s temperature using a thermometer, every half to one hour 
  3. Inform the doctor, and give adviced antipyretics (fever reducing medicine) if temperature escalating abruptly.
  4. Hydrotherapy- cold sponging with water at room temperature (no salt water or ice cold water)
  5. Intermittent prophylaxis with antiepileptics, can be adviced if your baby shows a recurrence of febrile seizures in the absence of any signs of infection and a normal EEG. (electro encephalogram)

Above mentioned article is not a medical prescription or advice. Please consult your doctor before starting any medicine.

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