Related Experiment Video
Updated: Feb 23, 2026

A Behavioral Screen for Heat-Induced Seizures in Mouse Models of Epilepsy
Published on: July 12, 2021
Circadian Rhythm and the Seasonal Variation in Childhood Febrile Seizure
Reza Sharafi1, Afagh Hassanzadeh Rad1, Vahid Aminzadeh1
1Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Insights
Childhood febrile seizures (FS) show seasonal and circadian variations, with most occurring in winter afternoons. These patterns suggest a link between body temperature regulation and seizure occurrence in children.
Area of Science:
- Pediatrics
- Neurology
- Circadian Biology
Background:
- Febrile seizures (FS) are the most common seizure type in childhood.
- Understanding temporal patterns of FS is crucial for diagnosis and management.
- Circadian rhythms and seasonal variations may influence physiological processes, potentially affecting seizure occurrence.
Purpose of the Study:
- To investigate the circadian rhythm and seasonal variations in childhood febrile seizures.
- To analyze the diurnal and seasonal distribution of FS in a pediatric population.
Main Methods:
- A retrospective, descriptive, cross-sectional study analyzed patient records.
- Data from 349 children (6-60 months) with simple FS were collected from January 2010 to January 2013.
- Information included age, sex, temperature, seizure duration, season, month, diurnal variation, and consciousness level.
Main Results:
- The study included 349 children (55.3% boys), with a mean age of 22.85 months.
- The majority of FS occurred in winter (33.8%), in the afternoon (37.8%), and in January (15.8%).
- Mean patient temperature was 38.45°C, and mean seizure duration was 97.91 seconds.
Conclusions:
- Febrile seizures in children exhibit distinct temporal patterns, with increased incidence during specific times of day and year.
- Circadian rhythms, potentially mediated by hypothalamic body temperature regulation, may influence the occurrence of febrile seizures.
- Further research into the multifactorial nature of FS and the role of circadian rhythms is warranted.
Objective:
We aimed to assess the circadian rhythm and the seasonal variation in childhood febrile seizure (FS).
Materials & Methods:
This descriptive cross-sectional study was conducted retrospectively on patients' records. Investigators assessed the records of patients with simple FS aged 6 to 60 months referred to Emergency Department of 17-Shahrivar Hospital, Rasht northern Iran during Jan 2010 to Jan 2013. Data were gathered by a checklist including age, sex, temperature, duration of seizure, seasonal, months, diurnal variation, and level of consciousness.
Results:
Totally, 349 patients including 193 (55.3%) boys and 156 (44.7%) girls with the mean age of 22.85±18.34 months were enrolled in this study. The mean temperature of patients was 38.45±0.53°C. The mean duration of seizure was 97.91±57 sec. Awake, drowsy and slept patients were noted in 170 (48.7%), 33(9.5%) and 146 (41.8%) cases, respectively. Most of the FS occurred in winter 118 (33.8%), afternoon 132 (37.8%) and in Jan 55 (15.8%).
Conclusion:
Body temperature adjusted by hypothalamus affecting by circadian rhythm. FS is the most common form of seizure in childhood occurred by multifactorial issues. Otherwise, the occurrence of seizure in patients with epilepsy may be affected by the circadian rhythm. Seizures happen more frequent at a specific time in 24 h during a day.
More Related Videos
09:57Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
Published on: September 20, 2024
10:22Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy
Published on: December 6, 2016
Related Concept Videos
Patterns of Fever
Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Circadian Rhythms and Gene Regulation
Increased Body Temperature
Biological Clocks and Seasonal Responses