Friday, July 11, 2008
Beware febrile seizures changed epilepsy
Febrile seizures, as the name suggests is caused by high fever and convulsion. Common in children less than 6 years old, because of what happened outside the central nervous system infections, the body temperature of 38 ℃ by the fever over the seizure. Many parents worry that children with high fever and convulsion will be transformed into epilepsy. In fact, this worry is not superfluous. Under normal circumstances, febrile seizures after most of the course is good, but high fever caused by a recurrence of the convulsions that the characteristics and the tendency to epilepsy. According to clinical survey, febrile seizures in children than the general rate of children with epilepsy 3-6 times higher, but any type of seizures can change from the febrile seizures. Domestic and foreign scholars believe that the existence of the following factors will change significantly increased the risk of epilepsy: 1, a family history of epilepsy. 2, the first high fever and convulsion before the onset of certain suspicious or abnormal nervous system development. 3, the complexity of febrile seizures, convulsions such as the duration of more than 15 minutes, fever within 24 hours of repeated attack or limitations of attack, after the attacks the nervous system and other abnormal signs. In addition, electroencephalogram (EEG) check for tips febrile seizures can also help to epilepsy. But to note, more accurate EEG examination time should be arranged in 1-2 weeks after the attack, because of high fever seizure in the week about 1/5-3/5 of the children are non-specific EEG slow wave increase. Therefore, the 6-year-old children within the regular fever, parents and doctors should actively prevent febrile seizures into epilepsy, in addition to peacetime improve the health of infants and young children, to reduce the incidence of febrile seizures, the two main measures to be taken: 1. Is febrile seizures attack, immediately intravenous injection stability and ease 0.2-0.5 Mg / Kg. At the same time maintain respiratory smooth, cool down and to take measures such as oxygen inhalation and the other is to have febrile seizures in children with risk factors, the use of intermittent short-term use of anti-epileptic drugs, or in children under the recurrence of the number of risk factors, long-term service to the benzene Barbieri Properly and sodium valproate, and other anti-epileptic drugs. The selection of drugs and the specific use of Zunyi Zhu should be carried out.
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