Febrile Seizures in Children

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Questions and Answers

What is the temperature threshold for a febrile seizure?

  • $38.0°C$ (100.4°F) or higher (correct)
  • $37.5°C$ (99.5°F) or higher
  • $37.0°C$ (98.6°F) or higher
  • $38.5°C$ (101.3°F) or higher

What is the typical age range for febrile seizures?

  • 6 to 60 months (correct)
  • 6 to 36 months
  • 12 to 72 months
  • 0 to 12 months

Which of the following is not a requirement for a febrile seizure?

  • Central nervous system infection
  • Temperature of $38°C$ (100.4°F) or higher
  • Metabolic imbalance
  • Prior afebrile seizures (correct)

How does the long-term mortality rate of complex febrile seizures compare to the general population?

<p>Approximately 2-fold increase (A)</p> Signup and view all the answers

What is the approximate percentage of neurologically healthy infants and children who experience at least one febrile seizure?

<p>2% to 5% (B)</p> Signup and view all the answers

Which of the following is considered the most significant risk factor for recurrence of febrile seizures?

<p>Age of the child (A)</p> Signup and view all the answers

What is the key distinguishing feature of a complex febrile seizure compared to a simple febrile seizure?

<p>Duration of the seizure lasting more than 15 minutes (C)</p> Signup and view all the answers

What is the primary reason for the approximately 2-fold increase in long-term mortality rate observed in children with complex febrile seizures?

<p>Higher likelihood of underlying neurological conditions (A)</p> Signup and view all the answers

What is the approximate percentage of neurologically healthy infants and children who experience at least one febrile seizure?

<p>2-5% (A)</p> Signup and view all the answers

Which of the following is NOT a requirement for a febrile seizure to be considered?

<p>History of prior afebrile seizures (D)</p> Signup and view all the answers

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Study Notes

Definition of Febrile Seizures

  • Febrile seizures occur between the age of 6 and 60 months with a temperature of 38°C (100.4°F) or higher
  • They are not the result of central nervous system infection or any metabolic imbalance
  • They occur in the absence of a history of prior afebrile seizures

Prevalence of Febrile Seizures

  • Between 2% and 5% of neurologically healthy infants and children experience at least 1 febrile seizure, usually simple

Impact of Complex Febrile Seizures

  • Complex febrile seizures may have an approximately 2-fold long-term increase in mortality, as compared to the general population, over the subsequent 2 years
  • This increased mortality is likely due to coexisting pathology

Risk Factors for Recurrence of Febrile Seizures

  • Age is a major risk factor for recurrence

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