Research progress on pathogenesis and treatment of febrile seizures

Chang Wu1, Qingmei Wang2, Wenmi Li2

  • 1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China; Research Institute of Chinese Medical Clinical Foundation and Immunology, College of Basic Medical Science & Wenzhou TCM Hospital of Zhejiang Chinese Medical University, Zhejiang Chinese Medical University, Zhejiang, China.

Life Sciences
|January 2, 2025
PubMed

Insights

Febrile seizures (FSs) are common in children, with complex cases risking brain injury. Understanding FS pathogenesis involves fever, neuroinflammation, genetics, and gut microbiota for better treatments.

Area of Science:

  • Pediatric Neurology
  • Neuroscience
  • Genetics

Background:

  • Febrile seizures (FSs) are the most common pediatric neurological disorder, affecting 5% of children aged 6 months to 5 years.
  • While most FSs are benign, 20-30% are complex (CFSs), increasing risks of brain injury and temporal lobe epilepsy.
  • Infection triggers FSs, influenced by age and geography, with intrinsic factors linked to immature brain myelination.

Purpose of the Study:

  • To review the pathogenesis of febrile seizures.
  • To focus on factors including age, fever, neuroinflammation, genetics, and intestinal microbiota.
  • To summarize current therapeutic approaches for FSs.

Main Methods:

  • Literature review of febrile seizure pathogenesis.
  • Analysis of influencing factors: age, fever, neuroinflammation, genetics, and intestinal microbiota.
  • Summary of existing therapeutic strategies.

Main Results:

  • FS pathogenesis is multifactorial, involving immature brain development, fever, neuroinflammation, and genetic susceptibility.
  • Age, fever, neuroinflammation, genetics, and intestinal microbiota are key factors influencing FS occurrence.
  • Current therapeutic approaches for FSs were summarized.

Conclusions:

  • Understanding FS pathogenesis requires considering the interplay of immature brain development, fever, neuroinflammation, genetics, and intestinal microbiota.
  • This review may help identify new targets for mechanistic studies and clinical treatment of FSs.
  • Further research into these factors can lead to improved management of febrile seizures.

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