Fever seizure crisis in children: a narrative review
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Abstract
Objective: To describe and update on febrile seizures, forms of diagnosis and treatment in children. Bibliographic review: Febrile seizures are seizures present at a febrile time (temperature above 38°C) in children whose febrile focus is not central nervous system infections, meningitis, and metabolic disorders. In almost all cases, simple febrile seizures have a benign prognosis and do not require extensive diagnostic investigation. Complex febrile seizures require a more detailed clinical evaluation and additional tests may be indicated due to an increased risk of detectable causes and a slightly increased risk of later developing epilepsy. Final considerations: Febrile seizures are benign childhood epileptic manifestations that occur between 6 months and 5 years of age and affect approximately 2–5% of children. Febrile seizures generally do not have significant adverse effects on cognitive and motor development. Anticonvulsant prophylaxis is not routinely recommended for simple and complex seizures, as its side effects outweigh the benefits of this practice.
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