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Saturday, August 29, 2020

FEBRILE SEIZURES : 6 PEARLS

 Febrile status epilepticus is a febrile seizure lasting longer than 30 min

 Major risk factors for recurrence of febrile seizures

 Age < 1 yr
 Duration of fever < 24 hr
 Fever 38-39°C (100.4-102.2°F)

Spikes during drowsiness on EEG are often seen in children with febrile seizures, particularly those older than  age  4 yr, and these do not predict later epilepsy

A low sodium level is associated with a higher risk of recurrence of the febrile seizure within the following 24 hr     

Antipyretics can decrease the discomfort of the child but do not reduce the risk of having a recurrent febrile seizure

Iron deficiency is associated with an increased risk of febrile seizures

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