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Recurrence of febrile seizure in Yazd, Iran

Razieh Fallah1, Sedighah Akhavan Karbasi

  • 1Department of Pediatrics, Shahid Sadoughi University of Medical Sciences, Shaheed Sadoughi Hospital, Yazd, Iran.

The Turkish Journal of Pediatrics
|March 25, 2011
PubMed

Insights

Febrile seizures (FS) recur in 37% of children, with infants and those experiencing seizures within an hour of fever onset being at higher risk. Early intervention is key for managing recurrent febrile seizures.

Area of Science:

  • Pediatric Neurology
  • Clinical Pediatrics
  • Neuroscience

Background:

  • Febrile seizure (FS) is the most common neurological issue in children.
  • Understanding FS recurrence is crucial for effective clinical management and parental guidance.

Purpose of the Study:

  • To determine the recurrence rate of febrile seizures.
  • To identify significant risk factors associated with FS recurrence.

Main Methods:

  • A descriptive retrospective study was conducted.
  • 139 children experiencing their first febrile seizure were followed for an average of 25.1 months.
  • Data on patient demographics, fever duration, and seizure occurrence were collected.

Main Results:

  • The overall FS recurrence rate was 37%, with a mean recurrence time of 6.7 months.
  • Infants (<1 year old) had a significantly higher recurrence rate (65%) compared to older children (>1 year old, 30%).
  • Seizures occurring within 1 hour of fever onset were associated with a higher recurrence rate (63%) than those occurring after 1 hour (33%).

Conclusions:

  • Younger age (infants) and short fever duration (<1 hour) before seizure onset are significant risk factors for febrile seizure recurrence.
  • These findings can aid clinicians in identifying high-risk children and providing targeted counseling.

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