Febrile seizures - status of children up to 6 years, in which the body temperature under-the mark of 38 ° C and higher, while history does not indicate afebrile convulsions or other likely causes. Diagnosis is only when other causes of seizures were excluded keppra dosage for dogs. In a fit of convulsions, which lasts a maximum of 15 minutes, you need maintenance treatment. In convulsions 15 minutes injected lorazepam intravenously and, if there is no effect of intravenous fosphenytoin. Long supportive care drugs in febrile convulsions in children is not used.
Febrile seizures occur, according to various estimates, in 2-5% of children under the age of 6 years. Most of the cases recorded in children aged 6 to 18 months. Duration of simple febrile seizures is less than 15 minutes, focal symptoms have been identified. If they appear in series, the length - of an hour.
Febrile seizures are considered difficult if lasted 15 minutes. This fix postpristupny paresis or focal symptoms. Or seizures can occur series of half an hour. More than 90% of febrile seizures - simple.
Causes febrile seizures are bacterial or viral infection. Also there is a possibility of their child after grafting, for example, DPT (tetanus toxoid, diphtheria toxoid, and pertussis) or after the MMR (mumps, rubella, measles). At risk are children who have a family history of febrile seizures indicates, there is a genetic predisposition. High concordance in monozygotic compared with dizygotic on.
In frequent cases of febrile seizures occur during the initial temperature rise, they mostly appear in the first days of feverish rise in body temperature. Typical generalized seizures, mostly they clonic, but some may manifest as tonic or atonic position of the baby's body.
If a baby from birth to 6 months notice meningeal symptoms or manifestations of central nervous system depression or develop seizures occurred after 3-5 days of febrile fever, doctors take to study the cerebrospinal fluid to rule out meningitis and encephalitis.
At the beginning of the seizure baby loses consciousness after some time his hands, legs and the whole body loses its flexibility and becomes a zaderevenevshim. In this case the head is bent backward. Then begin rhythmic jerking of the arms and legs. Skin tone with febrile convulsions in children may be pale, sometimes with a bluish tint. Basically febrile convulsion ends after 2-5 minutes, then the consciousness returns to the baby, but the weakness in the body. Skin color is also normal.
Repeated febrile convulsions in children account for about 35%. There is the chance of recurrence at 12 months of age (at the time of the first case of seizures) or if the patient's immediate family had a history of febrile seizures. There is a possibility of 2 to 5%, after febrile seizures will develop afebrile seizures.
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