FEBRILE CONVULSIONS IN CHILDREN: RELATIONSHIP OF FAMILY HISTORY TO TYPE OF CONVULSIONS AND AGE AT PRESENTATION

Authors

  • Tahir Saeed Siddiqui

Abstract

Background: Febrile Convulsions are the commonest cause of convulsions in children under five years of age. Present study was conducted to know relationship of positive family history of convulsions to the type of febrile convulsions and age of presentation. Methods: This study was carried out in the Department of Paediatrics, Hayat Shaheed Teaching Hospital Peshawar from June 1999 to June 2000. Data of all children with febrile convulsions were recorded on special proforma. Convulsions were labelled as febrile by excluding infections of central nervous system in developmentally normal children on the basis of history, examination and relevant laboratory investigations. Results: In 30% children there was positive family history of febrile convulsions and febrile convulsions occurred at earlier age in these children. Febrile convulsions were complex in 35% of cases and out of these there was positive family history of convulsions in 29% of children. As a whole 44% of children had first febrile convulsions below 12 months of age and 56% above 12 months of age. Conclusion:  Majority of febrile convulsions occurred in first two years of life. Initial febrile convulsions of simple type are more common in children with positive family history of convulsions, in whom first febrile convulsions tend to occur at earlier age. Further, complex febrile convulsions are more common when age at presentation is less than 12 months.

References

Goodridge MG. Febrile convulsions in childhood. Med Inter 1987; 2:16:1884-86.

Ahmad TM, Maqbool S. Antipyretics in children. Pakistan Paediatric Journal 1988; XII (2):73-78.

Hauser WA. The prevalence and incidence of convulsive disorders in children. Epilepsia 1994; 35 (Suppl.S1-6).

Offringa M, Moyer VA. Evidence based management of seizures associated with fever. BMJ 2001; 323:1111-114.

Behrman RE, Kleigman RM, Arvin AM (eds): The Nervous system. In Nelson Textbook of Paediatrics. 16th edition. Philadelphia W-B Saunders Company 2000. Sec 602.3.1818.

Hirtz DG. Generalized Tonic clonic and febrile seizures. In: Pellock JM (ed). Seizure disorders. The Pediatr Clin North Am, Vol-36 (2). WB Saunders Company 1989:375-82.

Lorber J, Sunderland R. Lumbar puncture in children with convulsions associated with fever. Lancet 1980; 1: 185-86.

Green SM, Rothrocle SG, Clem KJ, ZurcherRF, Mellick L. Can seizure be sole manifestation of meningitis in children with febrile convulsions? Paediatrics 1993; 92(4):527-34.

Freeman JM, Vining PG. Decision making and the child with febrile seizures. Paediatrics In Review 1992; 13(8):298-305.

Annegres JF, Hauser WA, Shirts-SB. Factors prognostic of unprovoked seizures after febrile convulsions. N Eng J Med 1987; 316: 493-498.

Joe D. Febrile seizures. Med Inter 1992; 5(17):1435-36.

Plochl E, Laubichler W. Retrospective study of 160 children with febrile convulsions. Klin Paediatr 1992; 204(1):16-20.

Saidulhaque. Febrile Convulsions. Pakistan Pediatric Journal 1981; 5(3):15-55.

Wallace SJ. Factors predisposing to a complicated initial febrile convulsion. Arch Dis Child 1975; 50:943-947.

Knudsen FU. Recurrence risk after first febrile seizure and effect of short term diazepam prophylaxis. Arch Dis Child 1985; 60:1045-49.

Laditan AA. Seizure recurrence after first febrile convulsion. Ann Trop Paediatr 1994; 14(4):303-8.

alEissa YA, alOmair AO, alHarbish AS, alJareallah AA Familusi JB. Antecedents and outcome of simple and complex febrile convulsions among Saudi children. Dev Med Child Neurol 1992; 34(12):1085-90.

Farwell JR, Blackner G, Sulzbacker S, Adelman L, Voller M. First febrile seizures. Characteristic of the child, the seizures, and the illness. Clin Paediatr Phila 1994; 33(5):263-7.

Rantala H, Uhari M, Hietola J. Factors triggering the first febrile seizure. Acta Paeditr 1995; 84(4):407-10.

Downloads

Most read articles by the same author(s)