Paediatric Febrile Seizures

These generally occur in children between the ages of 6 months and 5 years. They are associated with pyrexia in children without epilepsy or other cause, and without intercranial infection.
A simple seizure is characterised as generally tonic-clonic without focal features and usually lasting less than 15 minutes, and not recurring within 24 hours.
Complex febrile seizures last longer than 15 minutes, have focal symptoms and often recur within 24 hours. These sometimes may develop later into febrile status epilepticus. Sometimes anticonvulsants may be required such as lorazepam.

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