Febrile seizures: What do you want to know?

Abstract

Febrile seizures are benign, self-limiting, and most common convulsive
disorders that occur between the age of 6 and 60 months, but at the same time, it
is also a major challenge in pediatric practice and it is an alarming event in the
lives of both child and parents. To detect the incidence, causes of febrile
seizures and to find out the correlation between febrile seizures and certain
parameters. An observational organized prospective clinical study was
performed on 235 children with febrile seizures attending the pediatric
department in Tobruk Medical Center 2018. A questionnaire was administered
to parents who included items regarding age at admission, gender, recurrence,
mode of delivery, cause of fever, family history of febrile seizures, and family
history of epilepsy with febrile seizures. Febrile seizure represent (7 %) of total
admission in the pediatric department at Tobruk Medical Center 2018. Most
commonly occur in the second year of life, (40.4 %) of cases diagnosed as
febrile seizures in this age group.
It's more common in males than females with a male-female ratio of (1.53:1). Simple febrile seizures were more
common than complex febrile seizures (85.5% vs. 14.5%). Respiratory tract infection is the main cause of fever in
patients with febrile seizures (74%). Most of the case is the first attack (88.5%). A family history of febrile seizures
was present in (24%) of the cases, while a family history of epilepsy was present with (11 %) seizures of the cases.
The febrile seizures are a benign condition and all admitted Children recovered and discharged without any
significant complication. Incidence and prevalence are different according to many factors. It is predominantly seen
in males. The most causative factor was the respiratory tract infection. With the peak age of incidence in the second
year of life. Simple febrile seizures were a more common type. Family history of febrile seizures and epilepsy are
significant risk factors for the recurrence of febrile seizures and for the development of epilepsy