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The natural history of febrile seizures

D G Hirtz, K B Nelson

    Annual Review of Medicine
    |January 1, 1983
    PubMed

    Insights

    Febrile seizures are common in young children and usually have good outcomes. This review covers their characteristics, natural history, recurrence, and treatment controversies.

    Area of Science:

    • Pediatrics
    • Neurology

    Background:

    • Febrile seizures are common in early childhood.
    • Most children experiencing febrile seizures have positive outcomes.

    Purpose of the Study:

    • To review the clinical characteristics of febrile seizures.
    • To summarize research on febrile seizures.
    • To discuss controversies in evaluation and treatment.

    Main Methods:

    • Review of clinical and laboratory research.
    • Presentation of natural history, recurrence rates, and risk of later epilepsy or intellectual handicap.

    Main Results:

    • Febrile seizures are a common pediatric event.
    • Most children recover well without long-term issues.
    • Recurrence rates and risks for epilepsy are presented.

    Conclusions:

    • Febrile seizures are generally benign.
    • Understanding their characteristics and natural history is crucial.
    • Ongoing discussion regarding optimal evaluation and management continues.

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