[Febrile seizures in infants and children : know how to respond]

Roxane Zweifel1, Cosette Pharisa2, Youcef Guechi3

  • 1Service de pédiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Revue Medicale Suisse
|April 10, 2026
PubMed

Insights

Febrile seizures are common in young children and usually resolve on their own. While recurrences happen in about 30%, the risk of long-term issues like epilepsy is very low.

Area of Science:

  • Pediatrics
  • Neurology
  • Child Health

Background:

  • Febrile seizures are the most common neurological disorder in children aged 6 months to 5 years.
  • They occur in 2-4% of this age group.
  • Diagnosis is primarily clinical, with tests used to exclude other conditions.

Purpose of the Study:

  • To summarize the key aspects of febrile seizures.
  • To differentiate between simple and complex febrile seizures.
  • To outline diagnostic and treatment approaches.

Main Methods:

  • Clinical diagnosis is central.
  • Further investigations aim to rule out differential diagnoses.
  • Treatment involves observation for simple cases and medication for prolonged seizures.

Main Results:

  • Most febrile seizures are self-limiting, resolving within minutes.
  • Emergency treatment with benzodiazepines or antiepileptic drugs may be required.
  • Recurrence rates are approximately 30%.

Conclusions:

  • The prognosis for febrile seizures is generally favorable.
  • The risk of neurological sequelae is minimal.
  • The risk of developing epilepsy later in life is very low.

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