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A Behavioral Screen for Heat-Induced Seizures in Mouse Models of Epilepsy
Published on: July 12, 2021
Febrile seizures
Alok Hemal1, B P Kalra, Veena Gupta
1Department of Paediatrics, Himalayan Institute of Medical Sciences, Dehradun 248140.
Insights
Febrile seizures are common in children and usually benign, with little risk of long-term harm or developing epilepsy. Treatments like anti-epileptic drugs don't prevent future epilepsy, shifting treatment approaches.
Area of Science:
- Pediatrics
- Neurology
- Epilepsy
Background:
- Febrile seizures affect 2-5% of US children, most commonly simple seizures.
- Complex febrile seizures have focal onset, prolonged duration, or recurrence within one illness.
- Risk factors for febrile seizures, recurrence, and epilepsy are identifiable.
Purpose of the Study:
- To review the characteristics, risks, and management of febrile seizures in children.
- To discuss the evolving approach to treating febrile seizures based on current evidence.
Main Methods:
- Review of existing literature on febrile seizures.
- Analysis of risk factors for recurrence and epilepsy development.
- Evaluation of the efficacy of anti-epileptic drugs.
Main Results:
- Febrile seizures carry minimal risk of mortality, morbidity, or detectable brain damage.
- Recurrence is possible, but few children develop epilepsy.
- Anti-epileptic drugs prevent recurrence but do not reduce the risk of subsequent epilepsy.
Conclusions:
- Febrile seizures are generally benign with a low risk of long-term consequences.
- The treatment paradigm for febrile seizures is shifting due to the limited impact of anti-epileptic drugs on epilepsy development.
Abstract:
Febrile seizures are the most common form of childhood seizures occurring in 2 to 5% of children in the United States. Most febrile seizures are considered simple, although those with focal onset, prolonged duration or that occur more than once within the same febrile illness are considered complex. Risk factors for a first febrile seizure, recurrence of febrile seizures and development of future epilepsy are identifiable and varied. Children with febrile seizures encounter little risk of mortality and morbidity and have no association with any detectable brain damage. Recurrence is possible, but only a small minority will go on to develop epilepsy. Although anti-epileptic drugs can prevent recurrent febrile seizures, they do not alter the risk of subsequent epilepsy. This has led to a changing view of how we approach the treatment of these common and largely benign seizures.
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