Recurrence risk after a first febrile convulsion

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M S Bessisso1, M F Elsaid, N A Almula

  • 1Pediatrics Department, Hamad Medical Corporation, Doha, Qatar.

Saudi Medical Journal
|April 18, 2001
PubMed

Insights

The risk of febrile seizure recurrence within one year is 21%. Male sex and complex febrile seizures are significant predictors of recurrence in children.

Area of Science:

  • Pediatrics
  • Neurology

Background:

  • Febrile seizures are common in infants and children.
  • Parental concern often centers on the risk of seizure recurrence.

Purpose of the Study:

  • To determine the risk of subsequent convulsions within one year of a first febrile seizure episode.
  • Identify factors associated with febrile seizure recurrence.

Main Methods:

  • Prospective study conducted over one year (May 1997 to April 1998).
  • Enrolled all children experiencing their first febrile seizure.

Main Results:

  • 236 children with first febrile seizures were studied.
  • Recurrence within one year occurred in 21% of patients.
  • Associated factors for recurrence included male sex (P=0.02) and history of seizure clusters (P=0.00001).

Conclusions:

  • Male sex and complex febrile seizures are identified as risk factors for recurrence.
  • Understanding these factors can help manage parental concerns regarding febrile seizures.
Abstract

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