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Recurrence risk after a first febrile convulsion.
M S Bessisso1, M F Elsaid, N A Almula
1Pediatrics Department, Hamad Medical Corporation, Doha, Qatar.
Saudi Medical Journal
|April 18, 2001
Summary
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.