Seizures in children is a disease caused by a fever. Approximately 2-5% of children aged six months to five years generally have a fever. However, not to infect the child’s brain.
What to do when a child has a febrile seizure? Although febrile seizures look very scary, actually rare severe complications, the most important thing is to remain calm.
When the fever, tilt the child’s position so he does not choke on her saliva and do not try to hold the child’s movement. Lower fever with open shirt and wiped the boy with a little warm water. Once the water evaporates, the fever will go down. Do not give an ice pack or alcohol because the child will be shivering and body temperature has increased, although his skin was cold. For children weighing less than 10 kg may be given medication, febrile seizures will stop by itself before five minutes.
Does the child need to be hospitalized? When the seizure lasted less than five minutes, then the child conscious and crying, usually do not need to be treated. If high fever and seizures lasting more than 10-15 minutes or recurrent seizures, then you should take him to the doctor or hospital.
To help determine what will happen to the children later in life, febrile convulsions febrile seizures are divided into simple and complex seizures.
Simple febrile seizure is when a seizure lasts less than 15 minutes and not recurring on the same day, whereas complex seizures is when a seizure occurs only on one side of the body, lasts a long time (over 15 minutes) or repeated two or more times in one day.
Simple febrile seizures do not cause paralysis, death or interfere with understanding. To be at risk of epilepsy later in life is also very small, about 2-3%. Highest risk of recurrence of febrile seizures is, which can occur in 30-50% of children. These risks will be greater in complex seizures.
Recording or electroencephalografi brain (EEG) is usually not done routinely because it is not useful to predict whether the seizure is over and back, also can not predict what will happen in the future epilepsy.
For children with complex seizures or a child who has a real neurological disorder, the doctor will consider to give anti-seizure treatment with the long-term for 1 to 3 years.