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Link between epilepsy, convulsions lessened

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |September 30, 2016
    PubMed

    Insights

    Febrile convulsions in children rarely lead to epilepsy. This new study indicates a significantly lower risk than previously believed for developing epilepsy after a febrile convulsion.

    Area of Science:

    • Pediatrics
    • Neurology

    Background:

    • Febrile convulsions are common in childhood.
    • Previous assumptions suggested a higher risk of epilepsy following febrile seizures.

    Purpose of the Study:

    • To reassess the long-term risk of epilepsy in children with a history of febrile convulsions.
    • To provide updated epidemiological data on the sequelae of febrile seizures.

    Main Methods:

    • Retrospective cohort study design.
    • Analysis of a large pediatric population with documented febrile convulsions.
    • Longitudinal follow-up to ascertain epilepsy diagnosis.

    Main Results:

    • The incidence of epilepsy in children with febrile convulsions is lower than previously estimated.
    • Risk factors for developing epilepsy post-febrile convulsion were identified.

    Conclusions:

    • Febrile convulsions are generally benign with a low risk of epilepsy.
    • Current clinical management and parental counseling regarding febrile convulsions should be updated based on these findings.

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