Febrile Seizures - Guidelines in Children with First Seizure Associated With Fever [Article in Croatian]

Abstract

Febrile seizures are the most frequent neurological manifestation in early childhood with an incidence of 2% - 3%. They are highly age-specific with the peak of incidence at the age of two years. Usually they present as typical or simple febrile seizures characterised by short-term, generalised fits in a psychomotorically well child. Far more seldom are the atypical or complex febrile seizures characterised by a long-lasting, unilateral seizure with possible transitory or permanent neurological damage. The febrile seizures are prone to recidivism, which could occur in 20 to 50 percent of cases. The risk for subsequent afebrile seizures is 3 to 20%. The most important inherited epileptic syndrome linked to febrile seizures is the GEFC+. Longterm anticonvulsive prophylaxis aiming at avoiding febrile recidives is not recommended since febrile seizures are normally benign alterations of early childhood seizures.