21. Febrile Seizures While recurrent febrile seizures occur in 40% of those with a first febrile seizure, A firstdegree relative (parent or sibling) with febrile seizures http://home.coqui.net/myrna/febsrz.htm

Between 4 months and 5 years of age, 2-4% of all children will have at least one febrile seizure, usually brief, generalized tonic clonic attacks. The seizures terrify parents but do not cause brain damage in the children. While recurrent febrile seizures occur in 40% of those with a first febrile seizure, subsequent epilepsy develops in only 2% to 4%. WHICH CHILD WILL HAVE A FIRST FEBRILE SEIZURE? Parents witnessing a febrile seizure usually think that their child is dying. Until recently, it has not been possible to identify a group of infants at sufficiently high risk to justify counseling before they have a first febrile seizure. In a study by Bethune et al the absolute risk that a child with certain characteristics would have a first febrile seizure was calculated, and five simple factors were independently predictive: · A first-degree relative (parent or sibling) with febrile seizures · A second-degree relative (uncle, aunt, grandparent) with febrile seizures · Slow psychomotor development, as judged by parents · Delayed neonatal discharge (>28days) · Attendance at day care If a child hat two or more of these factors, the risk of having a first febrile seizure was calculated to be about 30%. Since only about 4% of children in the general population will have two or more of these factors, it becomes feasible to target anticipatory guidance to this small group of parents. If guidance is given, it seems important not to enhance “fever phobia” by excessive attention to control of temperature. Instead, the benign nature of febrile convulsions should be emphasized, including continued attendance at day care.

22. Virtual Children's Hospital: CQQA: Febrile Seizures Common Questions, Quick Answers on febrile seizures. http://www.vh.org/pediatric/patient/pediatrics/cqqa/febrileseizure.html

Pediatrics Common Questions, Quick Answers Febrile Seizures Donna D'Alessandro, M.D. Lindsay Huth, B.A. Peer Review Status: Internally Reviewed Creation Date: February 2002 Last Revision Date: April 2002 Common Questions, Quick Answers What is a seizure? What causes a febrile seizure? What happens during the seizure? ... When should I call the doctor? What is a seizure? A seizure is a brief period during which your child might become unconscious and parts of her body may twitch. During a seizure, the body goes into convulsions. What causes a febrile seizure? A febrile seizure is triggered by a high fever. The high fever could be due to infection. If your child has a seizure, call the doctor right away to determine the cause of the fever. Febrile seizures are not a sign of epilepsy. However, children with epilepsy are more likely to have febrile seizures. What happens during the seizure? A febrile seizure usually lasts less than 5 minutes but can last up to 15 minutes. Your child's arms and legs may twitch and jerk. Her eyes might roll back into her head.

23. Virtual Hospital: University Of Iowa Family Practice Handbook, Fourth Edition: E 48% under 15 months of age will have a recurrent febrile seizure in the future as It is not necessary to do a lumbar puncture in simple febrile seizures http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter02/02-2.html

University of Iowa Family Practice Handbook, Fourth Edition, Chapter 2 Emergency Medicine: Seizures Mark A. Graber, MD Departments of Family Medicine and Emergency Medicine University of Iowa College of Medicine Peer Review Status: Externally Peer Reviewed by Mosby Febrile Seizures Salient features Generalized, nonfocal seizure with an autosomal dominant transmission. Patients are usually 6 months to 5 years of age. Always self-limited , generally after 4 to 5 minutes but may last up to 15 minutes. Little postictal phase with prompt return of baseline mental status. If postictal, drowsy, or more than one seizure, see "grand mal" below. 2% to 5% will develop a chronic seizure disorder . 48% under 15 months of age will have a recurrent febrile seizure in the future as will 30% of those over 15 months, and 45% of those with a first-degree relative with history of febrile seizures. The American Academy of Pediatrics recommends against routine CT scanning, blood work, or EEG of patients with febrile seizures. Consider an LP for children under 18 months of age, and perform LP on those less than 12 months of age. Admission and work-up (CT/MRI or EEG) are indicated if there are focal signs or altered mental status since by definition these patients do not have simple febrile seizures. A metabolic workup and workup for meningitis should be done if appropriate. Finger-stick glucose should be done unless the patient is clinically normal.

24. Febrile Seizures Learn more about febrile seizures, which are seizures that are triggered by a fever and are common in young children. http://pediatrics.about.com/od/weeklyquestion/a/05_feb_seizures.htm

var zLb=1; zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a12' About Pediatrics Febrile Seizures Pediatrics Essentials Baby Names Ideal Body Weight Calculator ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Pediatrics newsletter! See Online Courses Search Pediatrics Stay up to date! Compare Prices Email to a friend ... Print this page Pediatric Resources Pediatric Problem Solver Ages and Stages More Pediatric Resources Symptom Checker Medical Advice Pediatric Basics for New Parents Medical Advice Fever Symptoms Febrile Seizures Most Popular Height Predictor - How tall will your kids be? Ideal Body Weight Calculator for Kids and Adults Baby Girl Names Baby Boy Names ... Autism Screening Quiz What's Hot Katrina Relief Average Weight Woman Find Flu Shots Coping with a Tragedy ... Kids and Cell Phones adunitCM(150,100,'x55') Febrile Seizures From Vincent Iannelli, M.D. Your Guide to Pediatrics FREE Newsletter. Sign Up Now!

25. Febrile Seizures In some children, fevers can trigger seizures. febrile seizures occur in 2 percent to 5 percent of all children between the ages of 6 months and 5 years. http://www.aap.org/pubed/ZZZ4PU1JUSC.htm?&sub_cat=107

26. Febrile Seizures — Treatment If your child has a febrile seizure, call your pediatrician right away. Many parents fear that a febrile seizure will lead to epilepsy. http://www.aap.org/pubed/ZZZKTY1JUSC.htm?&sub_cat=107

27. Febrile Seizure Still, a febrile seizure is always a reason to seek medical attention, A complex febrile seizure lasts longer than 15 minutes, occurs more than once http://www.cnn.com/HEALTH/library/DS/00346.html

var cnnSiteWideCurrDate = new Date(2005, 8, 9); International Edition Member Services Home Page World ... Contact Us In association with: CHILDREN'S HEALTH Infants Colic Diaper rash Infant jaundice Mumps ... Bronchiolitis INFORMATION CENTERS: Pick a category Health Centers Family Health Men's Health Women's Health Children's Health Seniors' Health Working Life Pain Management Condition Centers Immune System Allergy Alzheimer's Arthritis Respiratory System Cancer Endocrine System Digestive System Heart and Blood Infectious Disease Mental Health Note: All links within content go to MayoClinic.com Diseases and Conditions Febrile seizure From MayoClinic.com Special to CNN.com In young children, a rapidly rising body temperature can cause a seizure or a convulsion. This is called a fever seizure or febrile seizure. It typically affects children between the ages of 6 months and 5 years and lasts just a few minutes. But it can seem like an eternity to frightened parents. Baby's Health Children's Health Fever Signs and symptoms Repeated rhythmic jerking or stiffening of your child's arms, legs and face

28. NIP: Issues/MMRandDTP/Febrile Seizures FAQs febrile seizures after MMR and DTP Vaccinations FAQs about 8/30/2001 issue of New England Journal of Medicine study http://www.cdc.gov/nip/issues/mmr-dtp/mmr-dtp-faqs.htm

NIP: NIP HOME First time visitor? About NIP ... Acronyms NIP sub-sites: ACIP Flu Vaccine Immunization Registries Vaccines for Children Program ... VACMAN NIP Site Search For Immunization Information, call the CDC-INFO Contact Center: English and Spanish 800-CDC-INFO TTY Get Adobe Reader Febrile Seizures after MMR and DTP Vaccinations Diphtheria, Tetanus, and Pertussis - DTP Vaccine The August 30, 2001 issue of the New England Journal of Medicine published a study entitled "The Risk of Seizures after Receipt of Whole-Cell Pertussis or Measles, Mumps, and Rubella Vaccine" by William E Barlow and colleagues. What are febrile seizures and what causes them? What are the health effects of fever-related seizures? How often do fever-related seizures happen after DTP and MMR vaccination? When do fever-related seizures tend to happen? ... How was the study done? What are febrile seizures and what causes them?

29. NIP: Issues/MMRandDTP/Febrile Seizures Main Page febrile seizures after MMR and DTP Vaccinations 8/30/2001 issue of New England Journal of Medicine study http://www.cdc.gov/nip/issues/mmr-dtp/mmr-dtp.htm

NIP: NIP HOME First time visitor? About NIP ... Acronyms NIP sub-sites: ACIP Flu Vaccine Immunization Registries Vaccines for Children Program ... VACMAN NIP Site Search For Immunization Information, call the CDC-INFO Contact Center: English and Spanish 800-CDC-INFO TTY Get Adobe Reader Febrile Seizures after MMR and DTP Vaccinations Diphtheria, Tetanus, and Pertussis - DTP Vaccine The August 30, 2001 issue of the New England Journal of Medicine published a study entitled "The Risk of Seizures after Receipt of Whole-Cell Pertussis or Measles, Mumps, and Rubella Vaccine" by William E Barlow and colleagues. At a glance Parents concerned about the link between childhood vaccinations and seizures need not worry, according to the results of this study. The study found that children who suffered rare fever-related seizures after getting DTP (diphtheria, tetanus, and whole-cell pertussis) and MMR (measles, mumps, and rubella) vaccinations did not have an increased risk for subsequent seizures or neurodevelopmental (e.g., learning) disabilities. The study did confirm what was already known– that DTP and MMR vaccinations can temporarily increase the risk for fever-related, or what are called "febrile" seizures, in some children. Since the period covered by this study, the use of acellular pertussis (DTaP) vaccine has replaced DTP vaccine in the United States. DTaP has been associated with fewer side effects than DTP, including febrile seizures.

30. Febrile Seizure - Wikipedia, The Free Encyclopedia A febrile seizure, also known as a fever fit or febrile convulsion is a generalized convulsion caused by elevated body temperature. They most commonly occur http://en.wikipedia.org/wiki/Febrile_seizure

You did it! Over US$240,000 was donated in the 21 day fund drive. Thank you for your generosity! You are still welcome to make a donation or purchase Wikimedia merchandise Febrile seizure From Wikipedia, the free encyclopedia. A febrile seizure , also known as a fever fit or febrile convulsion is a generalized convulsion caused by elevated body temperature . They most commonly occur in children below the age of three years old and should not be diagnosed in children under the age of 6 months or over the age of 6 years. In many cases, the first sign of fever is the onset of the seizure. It has been theorized that the seizure is triggered by the rapidity of the rise in temperature, rather than the actual temperature reached. Febrile seizures represent the meeting point between a low seizure threshold (genetically and age determined) - some children have a greater tendency to have a seizure under certain circumstances - and a trigger: fever. The genetic causes of febrile seizures are still being researched. Some mutations that cause a neuronal hyperexcitability and could be responsible for febrile seizures have already been discovered. The diagnosis is one that must be arrived at by eliminating more serious causes of seizure : in particular

31. Postgraduate Medicine: Patient Notes: Febrile Seizures These are known as febrile seizures or fever seizures. Most children who have febrile seizures have rectal temperatures above 102°F. The seizures often http://www.postgradmed.com/issues/2001/08_01/pn_seizure.htm

Patient Notes Febrile seizures Download this Patient Note in PDF format VOL 110 / NO 2 / AUGUST 2001 / POSTGRADUATE MEDICINE A high body temperature sometimes causes seizures (also called convulsions) in infants and young children. These are known as febrile seizures or fever seizures. They can be very frightening, but they usually are not dangerous unless the child falls or has something in his or her mouth that could cause choking. Most febrile seizures last a minute or two, although some can be as brief as a few seconds. Seizures that last more than 10 minutes may be more serious and require medical attention. Children prone to febrile seizures are not considered to have epilepsy, which is associated with recurrent seizures that are not triggered by fever. How common are these seizures? About 1 in every 25 children will have at least one febrile seizure, and about one third of these children will have more. Febrile seizures usually occur between the ages of 6 months and 5 years and are particularly common in toddlers. Children rarely have their first febrile seizure before age 6 months or after age 3 years. The older a child is when the first seizure occurs, the lower the risk that more seizures will follow. Are these seizures harmful?

32. InteliHealth: Febrile Seizures InteliHealth Featuring Harvard Medical School s consumer health information. For more than 550 diseases and conditions, learn What Is It?, Symptoms, http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/9986.html

chrome_imgPreload('gifChr_mid_but_home_mo_1','http://img.intelihealth.com/i/C/Chr_mid_but_home-o.gif'); chrome_imgPreload('gifChr_mid_but_comm_mo_2','http://img.intelihealth.com/i/C/Chr_mid_but_comm-o.gif'); chrome_imgPreload('gifChr_mid_but_dental_mo_3','http://img.intelihealth.com/i/C/Chr_mid_but_dental-o.gif'); chrome_imgPreload('gifChr_mid_but_drug_mo_4','http://img.intelihealth.com/i/C/Chr_mid_but_drug-o.gif'); chrome_imgPreload('gifChr_mid_but_askexpert_mo_5','http://img.intelihealth.com/i/C/Chr_mid_but_askexpert-o.gif'); chrome_imgPreload('gifChr_mid_but_medical_mo_6','http://img.intelihealth.com/i/C/Chr_mid_but_medical-o.gif'); chrome_imgPreload('gifChr_mid_but_chats_mo_7','http://img.intelihealth.com/i/C/Chr_mid_but_chats-o.gif'); chrome_imgPreload('gifchr_mid_but_news_mo_8','http://img.intelihealth.com/i/c/chr_mid_but_news-o.gif'); chrome_imgPreload('gifChr_mid_but_privacy_mo_9','http://img.intelihealth.com/i/C/Chr_mid_but_privacy-o.gif'); Advertisement Febrile Seizures What Is It? Symptoms Diagnosis Expected Duration ... Additional Info What Is It? What is a seizure? The brain's nerve cells (neurons) communicate with each other by giving off tiny electric signals. When someone has a seizure (convulsion), the way the brain's nerve cells give off signals suddenly changes, causing different muscles in the body to twitch or jerk uncontrollably.

33. Febrile Seizure febrile seizure Provides comprehensive information concerning causes, febrile seizure, including what to do, what to expect and when to call the doctor. http://www.healthsquare.com/mc/fgmc0315.htm

Privacy About Linking Advertising Advertisement Home Conditions and Treatments Febrile Seizure Guide to Prescription Drugs Encyclopedia of Medicine Drugs and Medicines Advertisement HEALTH INFORMATION CENTER AIDS / HIV Allergies ... Urological Conditions Febrile Seizure From Our Sponsors WHAT YOU SHOULD KNOW A febrile (FEB-rile) seizure (SEE-zhur) is a type of convulsion. It causes your child's face or body to tighten up and jerk or twist. It is the most common type of seizure, and may last from 1 to 10 minutes. Children between 6 months and 2 years are more likely to have a febrile seizure. The seizures do not cause brain damage. Most children will not have another one. Causes A temperature of about 104 degrees F (40 degrees C) or more. The fever may be the result of an infection. Signs/Symptoms Jerking or twitching of the arms, legs or face. When a seizure starts, the child may pass out. He or she may not be aware of the jerking. The child may urinate or have a bowel movement without knowing it, or may throw up. After the seizure, the child may seem irritable, confused, or sleepy. WHAT YOU SHOULD DO If your child develops a fever, give a sponge bath to try to reduce the fever. The bath should be done in a warm room with warm water. Using a damp washcloth, gently rub the entire body. The child should be damp but not dripping wet. Do not use a fan or ice or cold water, and do not chill the child.

34. JAMA -- Abstract: MMR Vaccination And Febrile Seizures: Evaluation Of Susceptibl Context The rate of febrile seizures increases following measles, mumps, MMR and febrile seizures Journal Watch (General) 2004;200433. FULL TEXT http://jama.ama-assn.org/cgi/content/abstract/292/3/351

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress Vol. 292 No. 3, July 21, 2004 Featured Link E-mail Alerts Original Contribution Article Options Full text PDF Send to a Friend Related articles in this issue ... Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Vestergaard M Olsen J Articles that cite this article Contact me when this article is cited Topic Collections Immunization Prognosis/ Outcomes Topic Collection Alerts MMR Vaccination and Febrile Seizures Evaluation of Susceptible Subgroups and Long-term Prognosis Mogens Vestergaard, MD, PhD Anders Hviid, MSci Kreesten Meldgaard Madsen, MD, PhD Jan Wohlfahrt, MSci Poul Thorsen, MD, PhD Diana Schendel, PhD Mads Melbye, MD, DMSci JAMA. The rate of febrile seizures increases following measles, mumps, and rubella (MMR) vaccination but it is unknown

35. Epilepsy Ontario :: Seizure Types :: Febrile Seizures Epilepsy Ontario febrile seizures. A febrile seizure occurs when a child has a high fever, most commonly above 38.3°C (101°F), and usually on the http://epilepsyontario.org/client/EO/EOWeb.nsf/web/febrile seizures

Sections Epilepsy Ontario Contact EO The Organization Our Resource Centre Epilepsy NEWS Announcements 'Sharing' News Epilepsy Information About Epilepsy Seizures Medications First Aid ... WWW Links Get Involved Local Chapters Provincial Programs Funding Volunteer Opportunities ... Direct Donation Products Helmets Epilepsy Monitoring Systems Glad Cards More... ... autonomic seizures bilateral myoclonus seizures catamenial seizures clonic seizures complex partial seizures drop seizures ... motor seizures multi-focal seizures musicogenic seizures myoclonic seizures neonatal seizures nocturnal seizures ... photosensitive seizures prolonged seizures pseudo seizures psychogenic seizures psychomotor seizures reflex seizures ... withdrawal seizures Febrile Seizures A febrile seizure occurs when a child has a high fever, most commonly above 38.3°C (101°F), and usually on the first day of a rapid rise in body temperature. A febrile seizure is usually seen in children between 6 months and 3 years of age, although they can occur in children to 5 years of age. There are 2 types of febrile seizures: simple and complex.

36. Seizures, Febrile Simple febrile seizure single episode in 24 hours, lasting less than 15 Accounts for 85% of febrile seizures. Complex febrile seizure - multiple http://www.5mcc.com/Assets/SUMMARY/TP0837.html

Seizures, febrile DESCRIPTION: Seizure occurring with fever in infancy or childhood without evidence of other underlying cause. Seizures secondary to other CNS events like meningitis, tumor, or afebrile convulsive history excluded from this topic. Simple febrile seizure - single episode in 24 hours, lasting less than 15 minutes and generalized tonic-clonic activity. Accounts for 85% of febrile seizures. Complex febrile seizure - multiple episodes in 24 hours with focalizing findings and lasting more than 15 minutes. Accounts for 15% of febrile seizures. System(s) affected: Nervous Genetics: Uncertain but may be autosomal dominant with variable expression and incomplete penetrance Incidence/Prevalence in USA: Approximately 2500/100,000. 2-5% of all children, comprising 30% of all childhood seizures. Predominant age: Age of onset is 6 months to 6 years; 95% occur by 5 years; peak at 2 years Predominant sex: CAUSES: Fever may lower seizure threshold in susceptible children Viral illnesses: Upper respiratory infections, roseola infantum, influenza A, gastroenteritis Bacterial infections: Shigella, salmonella, otitis media

37. MedlinePlus Medical Encyclopedia: Febrile Seizures The first febrile seizure is one of life s most frightening moments for parents. About a third of children who have had a febrile seizure will have http://www.nlm.nih.gov/medlineplus/ency/article/000980.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Febrile seizures Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... References Illustrations Grand mal seizure Central nervous system Alternative names Return to top Seizure - fever induced Definition Return to top A febrile seizure is a convulsion in a child triggered by a fever . Such convulsions occur without any underlying brain or spinal cord infection or other neurologic cause. Causes, incidence, and risk factors Return to top About 3-5% of otherwise healthy children between the ages of 9 months and 5 years will have a seizure caused by a fever. Toddlers are most commonly affected. There is a tendency for febrile seizures to run in families. Most febrile seizures are triggered by a rapid rise of body temperature over 102.2°F. Most occur well within the first 24 hours of an illness, not necessarily when the fever is highest. The seizure is often the first sign of a fever. The first febrile seizure is one of life's most frightening moments for parents. Most parents are afraid that their child will die or have brain damage. Thankfully, simple febrile seizures are harmless. There is no evidence that simple febrile seizures cause death, brain damage, epilepsy, mental retardation, a decrease in IQ, or learning difficulties.

38. Epilepsy Action: Febrile Seizures Would a febrile seizure happen with every rise in temperature? febrile seizures are defined as seizures that are triggered by a high temperature in a http://www.epilepsy.org.uk/info/febrile.html

HOMEPAGE EPILEPSY INFORMATION FREE EMAIL UPDATES OUR SERVICES ... RESEARCH NEWS SHOP AND DONATE EPILEPSY ACTION SHOP TESCO ONLINE GROCERIES AMAZON.CO.UK and more Epilepsy Action is a working name of British Epilepsy Association. British Epilepsy Association is a Registered Charity (Registered in England No. 234343). Febrile Convulsions What are they? How common are they? Are they related to vaccination? Would a febrile seizure happen with every rise in temperature? ... Do febrile convulsions cause epilepsy? What are they? Febrile seizures are defined as seizures that are triggered by a high temperature in a child aged up to six years. The high temperature is usually related to a minor illness or infection and not related to an infection in the brain. There are three types of febrile seizure: Simple febrile seizures are single generalised tonic-clonic seizures that last for less than 10 minutes. Complex febrile seizures last between 10 and 29 minutes or are focal or recur during the febrile illness or are not followed by full consciousness within an hour. Febrile status epilepticus is a seizure that last at least 30 minutes or is a series of recurrent seizures lasting at least 30 minutes without recovery of full consciousness between seizures.

39. Dr. Koop - Febrile Seizures A febrile seizure is a in a child triggered by a . Such convulsions occur without any underlying brain or spinal cord infection or other neurologic cause. http://www.drkoop.com/ency/93/000980.html

Home Health Reference Febrile seizures Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Febrile seizures Injury Disease Nutrition Poison ... Prevention Febrile seizures Definition: A febrile seizure is a convulsion in a child triggered by a fever . Such convulsions occur without any underlying brain or spinal cord infection or other neurologic cause. Alternative Names: Seizure - fever induced Causes, incidence, and risk factors: About 3-5% of otherwise healthy children between the ages of 9 months and 5 years will have a seizure caused by a fever. Toddlers are most commonly affected. There is a tendency for febrile seizures to run in families. Most febrile seizures are triggered by a rapid rise of body temperature over 102.2°F. Most occur well within the first 24 hours of an illness, not necessarily when the fever is highest. The seizure is often the first sign of a fever. The first febrile seizure is one of life's most frightening moments for parents. Most parents are afraid that their child will die or have brain damage. Thankfully, simple febrile seizures are harmless. There is no evidence that simple febrile seizures cause death, brain damage, epilepsy, mental retardation, a decrease in IQ, or learning difficulties. Most febrile seizures are triggered by fevers from viral upper respiratory infections, ear infections, or roseola. Meningitis causes less than 0.1% of febrile seizures but should ALWAYS be considered, especially in children less than one year old or those who still look ill when the fever comes down.

40. Discovery Health :: Diseases & Conditions :: Febrile Seizures febrile seizures are convulsions that can occur in children with fever. http://health.discovery.com/encyclopedias/illnesses.html?article=1847&page=1

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