Author/Authors :
GHOFRANI، M. نويسنده Professor of Pediatric Neurology, Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences ,
Abstract :
Abstract:
Febrile convulsion (FC), an occurrence frequently encountered in
everyday practice, is discussed in this article with a review of
corresponding literature.
Taking into account the extent of debate on the topic, from FC being
considered a kind of epileptic seizure to its being viewed as a nonepileptic phenomenon, our aim is not to be judgmental regarding
its nature in the present writing. Two distinct groups of children,
who convulse with fever are described; one, the group whose
neurological status is suboptimal and the other children who one
who enjoy good health.
In this review, the clinical aspects of management of fever, a forerunner
of a seizure are emphasized. The other important aspect of handling
a case of febrile convulsion consists of controlling the seizure, which
should be done without any delay when it occurs.
Nowadays, the drugs of choice are diazepines, used via the rectal,
buccal or intranasal routes. The most important area of investigation
is lumbar puncture in a child who has had a febrile convulsion,
which will be discussed at the end.
