Seizure Simple and Complex Febrile Inpatient Care Guideline

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Seizure Simple and Complex Febrile Inpatient Care Guideline Inclusion Criteria 1st or recurrent febrile seizures Exclusion Criteria < 6 months of age ICU status, trauma, chronic systemic illness Complex Febrile Seizure Age 6 months – 5 years Prolonged duration > 5 minutes or focal At onset of febrile illness Returns to neuro baseline Developmentally normal Simple Febrile Seizure Age 6

Simple and complex febrile seizures: is there such a

Significantly more complementary tests were requested for complex febrile seizures: blood tests 71,8% vs 24,2% for simple febrile seizures, urine analysis 10,3% vs 2,4%, lumbar puncture 14,5% vs 1,5%, and CT 7,7% vs 0%, Similarly, admission was indicated more frequently 41,0% vs 6,1%, Underlying organic lesions central nervous system infection, metabolic disease, tumour/intracranial

Pediatric Neurology Febrile Seizures: Simple and Complex

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Pediatric Neurology Febrile Seizures: Simple and Complex , When to Refer Refer to local Emergency Department for the following: Patients with complex febrile seizure and qualify for urgent neuro-imaging or LP: Lumbar Puncture should be performed on any child who: • Presents with seizure, fever and has meningeal signs in ages 6-12 months • Meningeal signs include: – Neck stiffness – Kernig

Febrile Seizures

Febrile seizures have been divided two groups, simple or complex, Febrile seizures are considered “simple” if they meet all of the following criteria: Generalized full body convulsions; Last less than 15 minutes; No more than one in a 24-hour period; Febrile seizures are considered “complex or complicated” if any of the following features are present: Start focally with one body part

Febrile seizures: an overview

Febrile seizures can be simple or complex, Clinical judgment based on variable presentations must direct the diagnostic studies which are usually not necessary in the majority of cases, A lumbar puncture should be considered in children younger than 12 months of age or with suspected meningitis, Children with complex febrile seizures are at risk of subsequent epilepsy, Approximately …

FEBRILE SEIZURE,SIMPLE VS COMPLEX FEBRILE SEIZURE

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Febrile Seizures: Risks, Evaluation, and Prognosis

Febrile seizures are classified as simple or complex, A complex seizure lasts 15 minutes or more, is associated with focal neurologic findings, or recurs within 24 hours, The cause of febrile

Evaluation and Treatment of the Child with Febrile Seizure

Simple vs, Complex Febrile Seizures, Simple febrile seizure Complex febrile seizure; Lasts less than 15 minutes, Lasts 15 minutes or longer, Occurs once in a …

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Febrile seizures are classified as being simple or complex, Simple — Simple febrile seizures are the most common, Typically, the child loses consciousness and has a convulsion or rhythmic twitching of the arms or legs, Most seizures do not last more than one to two minutes, although they can last up to 15 minutes, After the seizure, the child may be confused or sleepy, but does not …

Practice Guideline Simple Febrile Seizure

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Complex febrile seizure focal seizure, ≥ 2 seizures ≥ 30 mins apart Seizure ≥ 15 mins Not routinely recommended: Lumbar puncture, CT, bloodwork, admission, emergent neuro consult Child 6mos-5yrs presents STATUS POST generalized tonic clonic seizure Does the patient have any of the following: Hypotension Toxic appearance Focal neuro findings incl paralysis Meningismus/nuchal rigidity

Clinical Practice Guidelines : Febrile seizure

Key Points

Febrile Seizures: Causes, Symptoms, and Treatments

Simple vs, Complex Febrile Seizures, There are two main types of febrile seizures: simple or “typical” and complex, Typical febrile seizures carry no increased risk of brain damage or epilepsy at all, especially after the cause of the fever is addressed, These seizures will usually last no more than 15 minutes, with no more than one seizure in a single 24-hour period, Simple seizures

Complex Febrile Seizures – More Complex than Simple,

Febrile Seizures, Most common childhood seizure affecting 2-6% of all children Classified as either Simple or Complex, Simple, Are “simple” – see above for criteria, Those who fit the criteria have no greater risk for meningitis than similar patients with fever alone… so evaluate the fever appropriately, Complex,