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- $Unique_ID{BRK00742}
- $Pretitle{}
- $Title{Seizure During an Illness--a Sign of Developing Epilepsy?}
- $Subject{seizures fever child care Nervous System febrile seizure epilepsy
- simple complex}
- $Volume{S-1}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Seizure During an Illness--a Sign of Developing Epilepsy?
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- QUESTION: Recently my 2 year old son was taken with a case of roseola, and
- ran a very high temperature. During the illness he had a seizure which passed
- rapidly, leaving the parents more affected than the patient. We are very
- concerned, and though our doctor has been very reassuring, we fear that this
- may be a sign of epilepsy developing. Do you have any answers for us?
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- ANSWER: The type of seizure experienced by your youngster is quite common and
- may affect between 2% and 5% of all children. It is called a febrile seizure,
- and is seen in almost 500,000 children each year. Usually they are seen as a
- single episode that is not repeated, and thus is considered benign. Febrile
- seizures are usually brief, leaving the child with little confusion or
- weakness when they have passed. We now classify them into "simple" or
- "complex" seizures. A simple seizure will last for less than 15 minutes,
- affecting the entire body, and occurring but once in a 24 hour period. In
- children with but a single, simple seizure, 65% have no further problems, and
- only 2% develop epileptic seizures according to one study. There is no
- conclusive evidence that febrile seizures by and of themselves cause epilepsy.
- In order to attempt to predict the possibility of future development of
- epilepsy, physicians look at four risk factors. They are; presence of complex
- seizures which last for more than 15 minutes and seem localized in one part of
- the body, abnormal neurological findings, a history of 3 or more seizures, and
- a positive family history of seizures unrelated to elevated temperature. The
- greater the number of risk factors present, the greater the possibility of
- epilepsy developing on down the road. However, the prognosis for you is most
- certainly a good one. The history of but a single episode, and the knowledge
- that this type of attack leaves no physical or mental impairment, and that we
- have no evidence that febrile seizures provoke epilepsy, should be reassuring.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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