Wednesday, February 27, 2008
How to prevent the recurrence of febrile seizures?
Heat febrile seizures, in addition to controlling seizures, The importance of the timely cooling, actively seeking fever reasons, be dealt with accordingly. Due to the heat of convulsion high recurrence rate, prevention of recurrence is very important. Prevention of recurrence is prone to age (6-year-old previously) completely avoid further seizures, convulsions status to prevent and reduce the incidence of epilepsy, avoid mental stunting. Intermittent medication commonly used method, that is, after the initial attack, when fever medication immediately, parents easily accept this method. If selected phenobarbital, realistic and can not achieve the objective of preventing recurrence. Because of phenobarbital at least take seven days to reach stability in the blood concentration of the treatment, after the first oral Phenobarbital also takes four to six hours to reach the peak plasma concentration, so this method can not when the temperature suddenly a protective effect. Some people tried stability suppository per 5 mg, in the heat during every eight hours once a certain effect. To prevent recurrence, it was suggested that a long-term medication, or whether or not fever, the daily insisted medication. But the heat of the high incidence of seizures, and serious sequelae are a minority, will be long-term medication would cause unnecessary burden on the majority of patients, and phenobarbital may also cause drowsiness, excited unrest, hyperactivity, and other side effects. So now made the following long-term medication of indications. (1) complexity of the heat febrile seizures. (2) the risk factors of cases, and after the second attack. Long-term medication can be used phenobarbital, primidone, or carbamazepine donations sodium.
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