Drgawki gorączkowe
Objawy

Drgawki gorączkowe to napady drgawkowe u dzieci w wieku 6 miesięcy do 5 lat, najczęściej między 12 a 18 miesiącem życia, wywołane gorączką powyżej 38°C, zwykle przekraczającą 39°C. Wyróżnia się drgawki proste (70-75% przypadków), które są uogólnione, trwają krócej niż 15 minut, występują jednokrotnie w ciągu 24 godzin i po których dziecko szybko odzyskuje świadomość, oraz drgawki złożone (20-25%), charakteryzujące się czasem trwania powyżej 15 minut, nawrotami w ciągu doby, ogniskowym charakterem napadu lub przejściową hemiparezą. Gorączkowy stan padaczkowy definiowany jest jako napad trwający ponad 30 minut i występuje u około 5% dzieci z drgawkami gorączkowymi, wymagając pilnej interwencji. Objawy napadu obejmują utratę przytomności, sztywność mięśni, rytmiczne drgania, zaburzenia oddychania oraz zmiany koloru skóry. Po napadzie obserwuje się okres senności i dezorientacji trwający do godziny.

Drgawki gorączkowe – charakterystyka

Drgawki gorączkowe (ang. febrile seizures) to napady drgawkowe występujące u dzieci, które są spowodowane gorączką. Pojawiają się zazwyczaj u dzieci w wieku od 6 miesięcy do 5 lat, przy czym szczyt zachorowań przypada na wiek 12-18 miesięcy 12. Szacuje się, że dotykają one około 2-5% dzieci 34. Drgawki gorączkowe najczęściej występują w pierwszej dobie choroby i często mogą być pierwszym objawem infekcji 56.

Napady drgawkowe mogą wystąpić przy gorączce powyżej 38°C (100,4°F), jednak najczęściej pojawiają się przy temperaturze przekraczającej 39°C (102,2°F) 78. Warto zauważyć, że drgawki mogą wystąpić także przy niższej temperaturze lub podczas gwałtownego wzrostu gorączki 910.

Typy drgawek gorączkowych

Drgawki gorączkowe dzielimy na dwa główne typy: proste (simple) i złożone (complex) 1112:

Proste drgawki gorączkowe

Proste drgawki gorączkowe stanowią około 70-75% wszystkich przypadków 13 i charakteryzują się następującymi cechami:

  • Dotyczą całego ciała (są uogólnione) 14
  • Trwają krócej niż 15 minut, zazwyczaj 1-2 minuty 1516
  • Występują tylko raz w ciągu 24 godzin 17
  • Po napadzie dziecko wraca do pełnej świadomości w ciągu godziny 18

Złożone drgawki gorączkowe

Złożone drgawki gorączkowe stanowią około 20-25% przypadków 19 i charakteryzują się co najmniej jedną z poniższych cech:

  • Trwają dłużej niż 15 minut 20
  • Występują więcej niż raz w ciągu 24 godzin 21
  • Mają charakter ogniskowy – dotyczą tylko jednej części ciała (np. jednej kończyny) 2223
  • Po napadzie może występować przejściowa słabość jednej strony ciała 24

Szczególnym rodzajem drgawek gorączkowych jest gorączkowy stan padaczkowy (febrile status epilepticus), który definiuje się jako drgawki trwające dłużej niż 30 minut 2526. Ten stan występuje u około 5% dzieci z drgawkami gorączkowymi i wymaga natychmiastowej interwencji medycznej 27.

Objawy drgawek gorączkowych

Objawy drgawek gorączkowych mogą być dramatyczne i budzić lęk u rodziców. Typowe objawy obejmują 2829:

Objawy podczas napadu

  • Utrata przytomności 3031
  • Sztywnienie ciała (napięcie mięśni) 32
  • Rytmiczne drgania kończyn lub całego ciała 33
  • Zrolowanie gałek ocznych, oczy mogą wyglądać jakby „uciekały” do tyłu 3435
  • Zaburzenia oddychania, dziecko może na krótko przestać oddychać 36
  • Zmiana koloru skóry – bladość lub sinienie wokół ust 3738
  • Niekontrolowane oddanie moczu lub stolca 39
  • Wydzielanie śliny z ust lub piana wokół ust 40
  • Mogą wystąpić wymioty 41

W czasie napadu dziecko nie reaguje na głos ani dotyk 42. Napad może być poprzedzony płaczem lub jękiem 43.

Objawy po napadzie

Po ustąpieniu drgawek dziecko zwykle 4445:

  • Jest senne, ospałe lub zdezorientowane przez kilka minut do godziny 4647
  • Może być rozdrażnione 48
  • Może nie pamiętać, że miało napad 49
  • Stopniowo wraca do normalnego zachowania 50

Przebieg drgawek gorączkowych

Drgawki gorączkowe najczęściej pojawiają się w pierwszych 24 godzinach od wystąpienia gorączki 5152. Często są pierwszym objawem choroby, zanim rodzice zauważą inne objawy infekcji 53. Mogą wystąpić zarówno podczas nagłego wzrostu temperatury, jak i w trakcie jej spadku 54.

Typowy przebieg drgawek gorączkowych wygląda następująco 5556:

  1. Pojawienie się gorączki (najczęściej powyżej 38°C) 57
  2. Nagle występujące drgawki, często podczas szybkiego wzrostu temperatury 58
  3. Utrata przytomności i sztywnienie ciała 59
  4. Rytmiczne drgania kończyn trwające zwykle 1-3 minuty 60
  5. Spontaniczne ustąpienie drgawek 61
  6. Okres senności i zdezorientowania po napadzie 62
  7. Powrót do prawidłowego funkcjonowania w ciągu 15-60 minut 63

Czynniki ryzyka wystąpienia nawrotów

U około 30-35% dzieci po pierwszym epizodzie drgawek gorączkowych dochodzi do nawrotu 6465. Ryzyko nawrotu jest większe, jeśli 6667:

  • Pierwsze drgawki wystąpiły przed 12-18 miesiącem życia 6869
  • Drgawki wystąpiły przy stosunkowo niewysokiej gorączce 70
  • Drgawki były pierwszym objawem choroby 71
  • Gorączka trwała krócej niż godzinę przed wystąpieniem drgawek 72
  • W rodzinie występowały drgawki gorączkowe 7374
  • Dziecko uczęszcza do żłobka lub przedszkola, co zwiększa ryzyko infekcji 75

Nawroty drgawek gorączkowych nie muszą występować przy każdej gorączce ani przy tej samej temperaturze co pierwszy epizod 7677. Większość nawrotów występuje w ciągu roku od pierwszego epizodu 78.

Rokowanie i odległe następstwa

Mimo dramatycznego przebiegu, rokowanie w drgawkach gorączkowych jest bardzo dobre 7980:

  • Proste drgawki gorączkowe nie powodują uszkodzenia mózgu 8182
  • Nie wpływają na rozwój intelektualny ani zdolności poznawcze dziecka 8384
  • Nie powodują zaburzeń zachowania ani problemów z nauką 85
  • Większość dzieci „wyrasta” z drgawek gorączkowych do 5-6 roku życia 8687

Ryzyko rozwoju padaczki po przebytych drgawkach gorączkowych jest nieznacznie podwyższone 8889:

Należy podkreślić, że nawet długotrwałe drgawki gorączkowe rzadko powodują trwałe uszkodzenie mózgu 95. Jednak gorączkowy stan padaczkowy (trwający powyżej 30 minut) może wiązać się z ryzykiem uszkodzenia struktur mózgu, szczególnie hipokampa, co może zwiększać ryzyko rozwoju padaczki skroniowej 9697.

Czynniki wyzwalające drgawki gorączkowe

Drgawki gorączkowe mogą być wywołane przez różne infekcje powodujące gorączkę. Najczęstszymi przyczynami są 9899:

Czynniki genetyczne również odgrywają rolę w podatności na drgawki gorączkowe. U około 25% dzieci z drgawkami gorączkowymi występuje pozytywny wywiad rodzinny w tym kierunku 104.

Podsumowanie

Drgawki gorączkowe, mimo że są dramatycznym i budzącym lęk zjawiskiem, w większości przypadków mają łagodny przebieg i dobre rokowanie. Najczęściej występują u dzieci między 6 miesiącem a 5 rokiem życia, szczególnie w wieku 12-18 miesięcy. Napady zwykle trwają kilka minut i ustępują samoistnie, a po krótkim okresie senności dziecko wraca do normalnego funkcjonowania.

Proste drgawki gorączkowe nie powodują uszkodzenia mózgu ani zaburzeń rozwojowych. Złożone drgawki gorączkowe i gorączkowy stan padaczkowy wymagają dokładniejszej diagnostyki i obserwacji ze względu na nieznacznie zwiększone ryzyko rozwoju padaczki w przyszłości.

U około 1/3 dzieci może dojść do nawrotów drgawek gorączkowych, szczególnie jeśli pierwszy epizod wystąpił przed 18 miesiącem życia lub jeśli w rodzinie występowały podobne napady. Większość dzieci „wyrasta” z drgawek gorączkowych do 5-6 roku życia.

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  1. 17.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Febrile Seizure Treatment, Definition, Symptoms & Causes
    https://www.medicinenet.com/febrile_seizures/article.htm
    Approximately one in every 25 children will have at least one febrile seizure, and more than one-third of these children will have additional febrile seizures before they outgrow the tendency to have them. Febrile seizures usually occur in children between the ages of 6 months and 5 years and are particularly common in toddlers. Children rarely develop their first febrile seizure before the age of 6 months or after 3 years of age. The older a child is when the first febrile seizure occurs, the less likely that child is to have more. […] During a febrile seizure, a child often loses consciousness and shakes, moving limbs on both sides of the body. Less commonly, the child becomes rigid or has twitches in only a portion of the body, such as an arm or a leg, or on the right or the left side only. Most febrile seizures last a minute or two, although some can be as brief as a few seconds while others last for more than 15 minutes.
  • #2 Febrile seizure – Wikipedia
    https://en.wikipedia.org/wiki/Febrile_seizure
    Febrile seizures are triggered by fever, typically due to a viral infection. […] Signs of typical seizure activity include loss of consciousness, opened eyes which may be deviated or appear to be looking towards one direction, irregular breathing, increased secretions or foaming at the mouth, and the child may look pale or blue (cyanotic). […] Febrile seizures happen between the ages of 6 months and 5 years. […] The peak age for a febrile seizure is 18 months, with the most common age range being 12-30 months of age. […] Febrile seizures affect 2-5% of children. […] After a single febrile seizure there is an approximately 35% chance of having another one during childhood. […] Long term outcomes are generally good with little risk of neurological problems or epilepsy. […] Those who have one febrile seizure have an approximately 30-40% chance of having another one in the next two years, with the risk being greater in those who are younger. […] Simple febrile seizures do not tend to recur frequently (children tend to outgrow them) and do not make the development of adult epilepsy significantly more likely.
  • #3 Febrile Seizures – Pediatrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/pediatrics/neurologic-disorders-in-children/febrile-seizures
    Febrile seizures are diagnosed when seizures occur in children 6 months to 5 years of age who have fever (temperature 38 C) that is not caused by a central nervous system infection and who have had no previous afebrile seizures. […] Febrile seizures occur in approximately 2 to 5% of children 6 months to 5 years of age, and most occur between 12 months and 18 months of age. […] Often, febrile seizures occur during the initial rapid rise in body temperature, and most develop within 24 hours of fever onset. In general, higher temperature appears to be more important in influencing the onset of seizures compared to the relative rate of its increase. Typically, seizures are generalized; most are clonic, but some manifest as periods of atonic or tonic posturing. […] A postictal period of a few minutes is common but may last as long as a few hours. Drowsiness is common during this period; confusion and agitation are less common but are possible. If the postictal period is longer than an hour or if children have focal findings (eg, diminished movement on one side) during this period, they should be evaluated for an underlying acute central nervous system (CNS) disorder. Recovery to baseline neurologic status is generally rapid.
  • #4 Febrile Seizures Following Childhood Vaccinations, Including Influenza Vaccination | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccine-safety/febrile.html
    The word febrile refers to having a fever. A seizure is a convulsion or uncontrolled body movements. A febrile seizure refers to a seizure/convulsion associated with a fever in a child. Febrile seizures usually last around one or two minutes and can occur with any condition that causes fever, such as a cold, influenza, or ear infection. They are most common with fevers of 102F (38.9C) or higher, but they can also happen at lower body temperatures or when a fever is going down. A person experiencing a febrile seizure may lose consciousness. […] Most febrile seizures happen in children between the ages of 6 and 59 months. Up to 5% of young children will have at least one febrile seizure. The most common age range for children to have febrile seizures is 14-18 months. […] Febrile seizures can be frightening, but nearly all children who have a febrile seizure recover quickly, are healthy afterwards, and do not have any permanent neurological damage. Febrile seizures do not make children more likely to develop epilepsy or any other seizure disorder. […] Vaccines can cause fevers, but febrile seizures are rare after vaccination. Importantly, getting sick with the flu also can cause febrile seizures. […] Flu illness can cause high fever and febrile seizures in children.
  • #5 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    A febrile seizure is a convulsion in a child that’s caused by a fever. The fever is often from an infection. Febrile seizures occur in young, healthy children who have normal development and haven’t had any neurological symptoms before. […] It can be frightening when your child has a febrile seizure. Fortunately, febrile seizures are usually harmless, only last a few minutes, and typically don’t indicate a serious health problem. […] Usually, a child having a febrile seizure shakes all over and loses consciousness. Sometimes, the child may get very stiff or twitch in just one area of the body. […] A child having a febrile seizure may: Have a fever higher than 100.4 F (38.0 C), Lose consciousness, Shake or jerk the arms and legs. […] Febrile seizures most often occur within 24 hours of the onset of a fever and can be the first sign that a child is ill.
  • #6 Patient education: Febrile seizures (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print
    Febrile seizures are convulsions that occur in a child who is between six months and five years of age and has a temperature greater than 100.4°F (38°C). The majority of febrile seizures occur in children between 12 and 18 months of age. […] Febrile seizures usually occur on the first day of illness, and in some cases, the seizure is the first clue that the child is ill. Most seizures occur when the temperature is higher than 102.2°F (39°C). […] Simple febrile seizures are the most common. Typically, the child loses consciousness and has a convulsion or rhythmic twitching of the arms or legs. Most seizures do not last more than one to two minutes, although they can last up to 15 minutes. After the seizure, the child may be confused or sleepy, but does not have arm or leg weakness. […] Complex febrile seizures are less common and can last more than 15 minutes (or 30 minutes if in a series). The child may have temporary weakness of an arm or a leg after the seizure.
  • #7 Patient education: Febrile seizures (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics
    Febrile seizures usually occur on the first day of illness, and in some cases, the seizure is the first clue that the child is ill. Most seizures occur when the temperature is higher than 102.2°F (39°C). […] Febrile seizures are classified as being simple or complex. […] Simple febrile seizures are the most common. Typically, the child loses consciousness and has a convulsion or rhythmic twitching of the arms or legs. Most seizures do not last more than one to two minutes, although they can last up to 15 minutes. After the seizure, the child may be confused or sleepy, but does not have arm or leg weakness. […] Complex febrile seizures are less common and can last more than 15 minutes (or 30 minutes if in a series). The child may have temporary weakness of an arm or a leg after the seizure.
  • #8 Febrile Seizures – Pediatrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/pediatrics/neurologic-disorders-in-children/febrile-seizures
    Febrile seizures are diagnosed when seizures occur in children 6 months to 5 years of age who have fever (temperature 38 C) that is not caused by a central nervous system infection and who have had no previous afebrile seizures. […] Febrile seizures occur in approximately 2 to 5% of children 6 months to 5 years of age, and most occur between 12 months and 18 months of age. […] Often, febrile seizures occur during the initial rapid rise in body temperature, and most develop within 24 hours of fever onset. In general, higher temperature appears to be more important in influencing the onset of seizures compared to the relative rate of its increase. Typically, seizures are generalized; most are clonic, but some manifest as periods of atonic or tonic posturing. […] A postictal period of a few minutes is common but may last as long as a few hours. Drowsiness is common during this period; confusion and agitation are less common but are possible. If the postictal period is longer than an hour or if children have focal findings (eg, diminished movement on one side) during this period, they should be evaluated for an underlying acute central nervous system (CNS) disorder. Recovery to baseline neurologic status is generally rapid.
  • #9 Febrile seizures | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/febrile-seizures/
    A febrile seizure is a fit that can happen when a child has a fever. […] During a febrile seizure, the child’s body usually becomes stiff, they lose consciousness and their arms and legs twitch. Some children may wet themselves. This is known as a tonic clonic seizure. […] The main symptom of a febrile seizure is a fit that occurs while a child has a fever. […] Febrile seizures often occur during the first day of a fever, which is defined as a high temperature of 38C (100.4F) or above. […] However, there appears to be no connection between the extent of your child’s fever and the start of a seizure. Seizures can occur even if your child has a mild fever. […] Simple febrile seizures can happen when there’s a rapid rise in temperature and you may only realise your child is ill when they have a fit. Alternatively, they can occur as your child’s temperature drops from a high level.
  • #10 Febrile Seizure: Treatment, Symptoms, and Causes
    https://www.healthline.com/health/febrile-seizure
    Febrile seizures usually occur in children between the ages of 6 months and 5 years, though theyre most common between 12 and 18 months of age. […] These convulsions happen in children experiencing a rapidly rising fever of 102F (39C) and above. However, febrile seizures can also occur at lower body temperatures. […] The symptoms of febrile seizures vary based on the two types: […] Symptoms of simple febrile seizure are: loss of consciousness, shaking limbs or convulsions (usually in a rhythmic pattern), confusion or tiredness after the seizure, no arm or leg weakness. […] Simple febrile seizures are the most common. Most last less than 2 minutes but can last as long as 15 minutes. […] Symptoms of complex febrile seizure are: loss of consciousness, shaking limbs or convulsions, temporary weakness usually in one arm or leg.
  • #11 Febrile Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448123/
    Febrile seizures are generalized seizures, typically in children between the ages of 6 months and 5 years, that occur with a fever greater than 100.4 F (38 C) not associated with a central nervous system (CNS) infection, a known seizure-provoking etiology (eg, electrolyte imbalance, hypoglycemia, or substance abuse), or history of an afebrile seizure. […] Most febrile seizures resolve spontaneously without associated complications. However, some studies have evidence that some patients may be at higher risk of developing epilepsy or another seizure disorder following a febrile seizure. […] Febrile seizures are categorized as simple febrile seizures, consisting of a single seizure lasting 15 minutes or less, or complex febrile seizures, characterized by multiple seizures occurring within 24 hours with focal neurologic features or a seizure lasting 15 minutes or more.
  • #12 Febrile Seizures – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/febrile-seizures/
    These seizures can be a scary experience for parents and family members. However, they typically do not cause any long-term health problems. They are not synonymous with a child having epilepsy. They do not require daily anti-seizure medication. […] There are two types of febrile seizures: simple and complex. […] The vast majority of febrile seizures are simple febrile seizures. This type is: Relatively brief. They last less than 15 minutes. Generalized. Shaking involves both sides of the body equally. Isolated event. They occur no more than once in a 24-hour period. […] A minority of febrile seizures are complex febrile seizures. This type is: Prolonged. They last more than 15 minutes. Focal. They involve shaking on only one side of the body. Recurring. They occur more than once in a 24-hour period.
  • #13 Pediatric Febrile Seizures: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1176205-overview
    This seizure is either focal or prolonged (ie, 15 min), or multiple seizures occur in close succession, i.e. within the same fever episode. […] The child has a preexisting neurologic abnormality or acute illness. […] Febrile seizures occur in 2-5% of children aged 6 months to 5 years in industrialized countries. Among children with febrile seizures, about 70-75% have only simple febrile seizures, another 20-25% have complex febrile seizures, and about 5% have symptomatic febrile seizures. […] Children with a previous simple febrile seizure are at increased risk of recurrent febrile seizures; this occurs in approximately one third of cases. Children younger than 12 months at the time of their first simple febrile seizure have a 50% probability of having a second seizure. After 12 months, the probability decreases to 30%. Children who have simple febrile seizures are at a slightly increased risk for epilepsy. The rate of epilepsy by age 25 years is approximately 2.4%, which is about twice the risk in the general population.
  • #14 Febrile Seizures – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/neurologic-disorders-in-children/febrile-seizures
    Febrile seizures are seizures triggered by a fever of at least 100.4 F (about 38 C). […] Most febrile seizures are harmless and caused by fever resulting from an infection. […] Less often, a febrile seizure can be the first sign of a previously unrecognized neurologic disorder. […] Most febrile seizures last much less than 15 minutes, and about 20 to 35% of children who have a febrile seizure never have another one. […] Febrile seizures may be simple or complex: […] Simple: The entire body shakes (called a generalized seizure) for less than 15 minutes and children usually lose consciousness. Over 90% of febrile seizures are simple. […] Complex: The entire body shakes for 15 minutes or more (constantly or with pauses), or only one side or one part of the body shakes (called a partial or focal seizure), or seizures occur at least twice within 24 hours.
  • #15 Febrile Seizures (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/febrile.html
    Febrile seizures are convulsions that can happen when a young child has a fever above 100.4F (38C). The seizures usually last for a few minutes and stop on their own. The fever may continue for some time. […] Most febrile seizures stop without treatment and don’t cause other health problems. Some kids might feel sleepy after a seizure, while others feel no lasting effects. […] There are two types of febrile seizures: Simple febrile seizures are most common. They’re usually over in a few minutes, but in rare cases can last up to 15 minutes. During this type of seizure, a child may: convulse, shake, and twitch all over, roll the eyes, moan, become unconscious (pass out), vomit or urinate (pee) during the convulsions. […] Complex febrile seizures last longer than 15 minutes, happen more than once in 24 hours, and involve movement or twitching of only one part or one side of the body. […] If the seizure lasts more than 5 minutes, or your child turns blue, it may be a more serious type of seizure call 911 right away. […] Febrile seizures can be scary to see. But they’re fairly common and not usually a symptom of serious illness.
  • #16 Febrile seizures | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/febrile-seizures/
    During simple febrile seizures: your child’s body will become stiff and their arms and legs will begin to twitch; they’ll lose consciousness and they may wet or soil themselves; they may also vomit and foam at the mouth and their eyes may roll back; the seizure usually lasts for less than five minutes; following the seizure, your child may be sleepy for up to an hour afterwards. […] Complex febrile seizures tend to last longer than 15 minutes, and the symptoms may only affect one area of your child’s body. The seizure sometimes recurs within 24 hours or during the period in which your child is ill.
  • #17 Febrile Seizures | AAFP
    https://www.aafp.org/pubs/afp/issues/2008/1115/p1199.html
    Febrile seizures are defined as events in infancy or childhood that usually occur between three months and five years of age and are associated with a fever, but without evidence of intracranial infection or a defined cause for the seizure. […] Simple febrile seizures are generalized in onset, last less than 15 minutes, and do not occur more than once in 24 hours. Complex seizures last longer, have focal symptoms, and can recur within 24 hours. This review only deals with simple febrile seizures. […] A simple febrile seizure is a generalized seizure, often tonic-clonic, lasting less than 15 minutes in duration that does not occur more than once in 24 hours, and is followed by full recovery within one hour. […] In over 80 percent of children, the duration of the febrile seizure is less than 10 minutes, and in only about 9 percent of children do they last longer than 15 minutes.
  • #18 Febrile seizures
    https://www2.hse.ie/conditions/febrile-seizures/
    Febrile seizures (or febrile convulsions) are seizures (fits) that can happen when a child has a fever. A fever is usually caused by an infection. […] Febrile seizures are most common between the ages of 6 months and 3 years. […] A febrile seizure usually lasts less than 5 minutes. […] During a seizure, your child may: become stiff, twitch or jerk their arms or legs, lose consciousness, wet or soil themselves, vomit. […] Their eyes may also roll back. And their lips or skin may change colour, going pale or blue. […] After the seizure, they may be sleepy for up to 1 hour. […] A simple febrile seizure is a seizure that affects your child’s whole body, lasts less than 15 minutes, only happens once during 24 hours, your child fully recovers from. […] A complex febrile seizure is a seizure that may last longer than 15 minutes, reoccur within 24 hours, affect just part of the body, cause temporary weakness or other problems after the seizure ends.
  • #19 Pediatric Febrile Seizures: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1176205-overview
    This seizure is either focal or prolonged (ie, 15 min), or multiple seizures occur in close succession, i.e. within the same fever episode. […] The child has a preexisting neurologic abnormality or acute illness. […] Febrile seizures occur in 2-5% of children aged 6 months to 5 years in industrialized countries. Among children with febrile seizures, about 70-75% have only simple febrile seizures, another 20-25% have complex febrile seizures, and about 5% have symptomatic febrile seizures. […] Children with a previous simple febrile seizure are at increased risk of recurrent febrile seizures; this occurs in approximately one third of cases. Children younger than 12 months at the time of their first simple febrile seizure have a 50% probability of having a second seizure. After 12 months, the probability decreases to 30%. Children who have simple febrile seizures are at a slightly increased risk for epilepsy. The rate of epilepsy by age 25 years is approximately 2.4%, which is about twice the risk in the general population.
  • #20 Febrile Seizures | National Institute of Neurological Disorders and Stroke
    https://www.ninds.nih.gov/health-information/disorders/febrile-seizures
    Complex febrile seizures either last longer than 15 minutes, happen more than once in 24 hours, or happen only on one part of a child’s body. They may also be a combination of these. […] A febrile seizure can be frightening for the child and for parents or caregivers. But simple febrile seizures do not cause long-term health problems. However, if the child has a second seizure, it is more likely to last longer than 15 minutes. A first febrile seizure that lasts longer than 15 minutes doesn’t mean the child will necessarily have more seizures. […] Even longer seizures are generally harmless, but they do increase the person’s risk of developing epilepsy. Although rare, some children including those with cerebral palsy, delayed development, or other neurological issues who have had febrile seizures have an increased risk of developing epilepsy.
  • #21 What is a febrile seizure or febrile convulsion?
    https://www.medicalnewstoday.com/articles/168010
    A complex febrile seizure may look different: The seizure will last longer than 15 minutes. It may happen again within 24 hours. Full recovery takes longer than one hour. Movements or twitching will affect one part of the body, such as a limb, rather than the whole body. […] A febrile seizure often happens at the beginning of an illness, as the fever starts, and often before other signs of illness appear. […] A seizure needs urgent medical attention if: The seizure lasts longer than 5 minutes. The person is a child who has not had a seizure before. […] Febrile seizures are common among children under the age of 5 years and usually accompany a fever. […] A febrile seizure can be alarming to parents and caregivers but does not usually have serious consequences.
  • #22 Febrile Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448123/
    Simple febrile seizures usually have a single episode of generalized tonic-clonic movements, often involving facial and respiratory muscles, lasting less than 15 minutes with a short period of postictal drowsiness. Conversely, complex febrile seizures are characterized by focal seizures, usually limited to one side of the body, lasting 15 minutes or more, that can recur within 24 hours. […] Febrile status epilepticus refers to seizures lasting longer than 30 minutes and is a rare subset of febrile seizures associated with more adverse outcomes than simple febrile seizures. […] The evaluation of febrile seizures primarily consists of characterizing a patient’s type of febrile seizure and determining the fever’s underlying cause through clinical assessment and diagnostic studies. Most febrile seizures spontaneously resolve and, therefore, may be expectantly managed. However, complex or longer-lasting febrile seizures may require pharmacologic therapy to stop the seizure activity.
  • #23 Febrile Seizures: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/801500-overview
    Febrile seizures are the most common type of seizures observed in the pediatric age group. Febrile seizures are categorized into the following two types: Simple febrile seizures (which are generalized, last 15 minutes, and do not recur within 24 hours) […] Complex febrile seizures (which are prolonged, recur more than once in 24 hours, or are focal). Complex febrile seizures may indicate a more serious disease process, such as meningitis, abscess, or encephalitis. […] The underlying cause of the fever should be sought. A careful physical examination often reveals otitis media, pharyngitis, or a viral exanthem. […] Febrile seizures are divided into 2 types: simple febrile seizures (which are generalized, last 15 min and do not recur within 24 h) and complex febrile seizures (which are prolonged, recur more than once in 24 h, or are focal). Complex febrile seizures may indicate a more serious disease process, such as meningitis, abscess, or encephalitis. Febrile status epilepticus, a severe type of complex febrile seizure, is defined as single seizure or series of seizures without interim recovery lasting at least 30 minutes.
  • #24 Patient education: Febrile seizures (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print
    Febrile seizures are convulsions that occur in a child who is between six months and five years of age and has a temperature greater than 100.4°F (38°C). The majority of febrile seizures occur in children between 12 and 18 months of age. […] Febrile seizures usually occur on the first day of illness, and in some cases, the seizure is the first clue that the child is ill. Most seizures occur when the temperature is higher than 102.2°F (39°C). […] Simple febrile seizures are the most common. Typically, the child loses consciousness and has a convulsion or rhythmic twitching of the arms or legs. Most seizures do not last more than one to two minutes, although they can last up to 15 minutes. After the seizure, the child may be confused or sleepy, but does not have arm or leg weakness. […] Complex febrile seizures are less common and can last more than 15 minutes (or 30 minutes if in a series). The child may have temporary weakness of an arm or a leg after the seizure.
  • #25 Febrile Seizures | National Institute of Neurological Disorders and Stroke
    https://www.ninds.nih.gov/health-information/disorders/febrile-seizures
    Most febrile seizures are over within a couple minutes. Parents and caregivers should stay calm and carefully watch the child. During a febrile seizure, they should: Note the start time of the seizure. If it lasts longer than five minutes, call an ambulance. […] Drugs that lower fevers such as acetaminophen or ibuprofen may make the child more comfortable. However, numerous studies have shown that treating a fever does not lower the risk of febrile seizure. […] Results from an NINDS-funded study have suggested that children with prolonged febrile seizures are at increased risk of developing epilepsy and that prolonged febrile seizures may injure the brain. MRI may help identify the children at highest risk for developing epilepsy. […] Some children with prolonged febrile seizures that last longer than 30 minutes, called febrile status epilepticus (fSE), are at risk of developing epilepsy.
  • #26 Febrile Seizures – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/neurologic-disorders-in-children/febrile-seizures
    After the febrile seizure, children are often drowsy. This period of time after the seizure (postictal period) lasts a few minutes or sometimes lasts a few hours. […] Febrile seizures usually result from the fever itself. […] An important part of the definition of febrile seizures is that the fever and seizure are not caused by a brain infection such as meningitis or encephalitis. […] Febrile seizures that last 30 minutes or more are considered febrile status epilepticus. […] Children with febrile status epilepticus are at risk of brain damage if not treated promptly. […] About 20 to 35% of children have additional febrile seizures (recurrent febrile seizures). […] Children are more likely to have additional seizures if they were under 1 year old when they had the first febrile seizure or if they have close relatives who have had febrile seizures.
  • #27 Febrile convulsions – Don’t Forget the Bubbles
    https://dontforgetthebubbles.com/febrile-seizures/
    An 8-month-old baby has been referred to you by the Accident and Emergency Department with the first episode of febrile convulsion. He has been coryzal over the last couple of days with temperature spikes up to 38C. The episode lasted for five minutes; the baby felt hot then, and following recovery, he remained well. […] Febrile seizures are benign. They typically occur in children six months 6 years, and they can be either simple or complex (duration 15 minutes, multiple seizures over a 24-hour period, focal neurology). The most common type of febrile seizure (75%) is a simple febrile seizure. It is usually a brief, generalized tonic-clonic seizure that occurs with the onset of a rising temperature. In 87% of children, the febrile seizure lasts less than 10 minutes. […] A complex febrile seizure is defined by at least one of the following criteria: Duration of the seizure longer than 15 minutes, Multiple seizures within the last 24 hours, Presence of focal seizures. Febrile status epilepticus (30 minutes duration) occurs in only 5% of the paediatric population.
  • #28 Febrile Seizure: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/febrile-seizure
    Febrile seizures are bursts of electrical activity in a childs brain that happen with a fever. They could occur with common childhood infections like the flu, an ear infection or chickenpox. They only last a few minutes and are usually harmless, but they can be alarming for parents and caregivers. A healthcare provider can offer support and guidance. […] A febrile seizure is abnormal electrical activity in your childs brain that can happen while your child has a fever. Some of the most common symptoms include uncontrollable shaking (convulsions) and a short-term loss of consciousness. […] Common symptoms of a febrile seizure include loss of consciousness and bodily control, and uncontrollable muscle movements. Febrile seizure symptoms can affect your childs movement, bodily control and consciousness.
  • #29 Febrile Seizure: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/febrile-seizure
    The symptoms of a febrile seizure may include: Uncontrollable muscle movements (convulsions) that may look like your child is shaking. Their muscles may stiffen or tense up or theyll experience muscle twitching. Loss of consciousness (passing out). Your childs eyes may roll back as this happens. Loss of bodily control (drooling, vomiting, peeing or pooping). […] These symptoms usually only last for a couple of seconds to minutes with simple febrile seizures. They may last more than 15 minutes or happen more than once in a day with complex types. […] Febrile seizures are usually harmless and dont typically cause long-term effects. […] Your child may have more than one seizure before they turn 5. While less common, if they have several seizures, studies have found that your child might have trouble meeting language development milestones for their age.
  • #30 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    A febrile seizure is a convulsion in a child that’s caused by a fever. The fever is often from an infection. Febrile seizures occur in young, healthy children who have normal development and haven’t had any neurological symptoms before. […] It can be frightening when your child has a febrile seizure. Fortunately, febrile seizures are usually harmless, only last a few minutes, and typically don’t indicate a serious health problem. […] Usually, a child having a febrile seizure shakes all over and loses consciousness. Sometimes, the child may get very stiff or twitch in just one area of the body. […] A child having a febrile seizure may: Have a fever higher than 100.4 F (38.0 C), Lose consciousness, Shake or jerk the arms and legs. […] Febrile seizures most often occur within 24 hours of the onset of a fever and can be the first sign that a child is ill.
  • #31 Febrile Seizures | National Institute of Neurological Disorders and Stroke
    https://www.ninds.nih.gov/health-information/disorders/febrile-seizures
    A febrile seizure is a seizure caused by a fever in healthy infants and young children. Any fever may cause a febrile seizure. These seizures may happen when a child has an illness such as a cold, the flu, roseola, chickenpox, COVID-19, RSV (respiratory syncytial virus), or an ear infection. Most febrile seizures occur within 24 hours of a child getting sick. Sometimes, a child may have a seizure before developing a fever. […] Symptoms of febrile seizures may include: Loss of consciousness or passing out, Uncontrollable shaking, jerking, or stiffening in the arms or legs (may be the whole body or only part of the body), Eye rolling, Loss of bodily control (such as drooling, vomiting, urinating, or having a bowel movement). […] Simple febrile seizures are the most common type. They last a few seconds up to 15 minutes, and happen only once in 24 hours.
  • #32 Febrile seizures | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/febrile-seizures/
    During simple febrile seizures: your child’s body will become stiff and their arms and legs will begin to twitch; they’ll lose consciousness and they may wet or soil themselves; they may also vomit and foam at the mouth and their eyes may roll back; the seizure usually lasts for less than five minutes; following the seizure, your child may be sleepy for up to an hour afterwards. […] Complex febrile seizures tend to last longer than 15 minutes, and the symptoms may only affect one area of your child’s body. The seizure sometimes recurs within 24 hours or during the period in which your child is ill.
  • #33 Febrile seizures | Lima Memorial Health System
    https://www.limamemorial.org/health-library/HIE%20Multimedia/1/000980
    A febrile seizure is a convulsion in a child triggered by a fever. […] A febrile seizure may be as mild as the child’s eyes rolling or limbs stiffening. A simple febrile seizure stops by itself within a few seconds to 10 minutes. It is often followed by a brief period of drowsiness or confusion. […] Symptoms may include any of the following: Sudden tightening (contraction) of muscles on both sides of a child’s body. The muscle tightening may last for several seconds or longer. The child may cry or moan. If standing, the child will fall. The child may vomit or bite their tongue. Sometimes, children do not breathe and may begin to turn blue. The child’s body may then begin to jerk rhythmically. The child will not respond to the parent’s voice. Urine may be passed. […] A seizure lasting longer than 15 minutes, is in just one part of the body, or that occurs again during the same illness is not a normal febrile seizure. […] It is normal for children to sleep or be drowsy or confused for a short time right after a seizure.
  • #34 Febrile seizure – Wikipedia
    https://en.wikipedia.org/wiki/Febrile_seizure
    Febrile seizures are triggered by fever, typically due to a viral infection. […] Signs of typical seizure activity include loss of consciousness, opened eyes which may be deviated or appear to be looking towards one direction, irregular breathing, increased secretions or foaming at the mouth, and the child may look pale or blue (cyanotic). […] Febrile seizures happen between the ages of 6 months and 5 years. […] The peak age for a febrile seizure is 18 months, with the most common age range being 12-30 months of age. […] Febrile seizures affect 2-5% of children. […] After a single febrile seizure there is an approximately 35% chance of having another one during childhood. […] Long term outcomes are generally good with little risk of neurological problems or epilepsy. […] Those who have one febrile seizure have an approximately 30-40% chance of having another one in the next two years, with the risk being greater in those who are younger. […] Simple febrile seizures do not tend to recur frequently (children tend to outgrow them) and do not make the development of adult epilepsy significantly more likely.
  • #35 What is a Febrile Seizure? – Children’s Health
    https://www.childrens.com/health-wellness/what-is-febrile-seizure
    A febrile seizure is a seizure triggered by fever. It is the most common type of seizure in infants and young children, occurring in about 2-5% of children under the age of 5. […] Febrile seizures are classified into two types: […] Simple febrile seizures are the most common type of febrile seizure. They affect the entire body, and typically last a few seconds up to 15 minutes. […] Complex febrile seizures affect one part of the body, last longer than 15 minutes and occur more than once within 24 hours while the child is running a fever. […] Common febrile seizure symptoms include: Loss of consciousness, Body or muscle contraction and stiffness such as convulsions, Biting of cheek or tongue, Clenched teeth or jaw, Rolling of the eyes back in the head, Loss of bladder or bowel control.
  • #36 How to Prevent Febrile Seizure, Treatment, Symptoms & Causes
    https://www.emedicinehealth.com/seizures_and_fever/article_em.htm
    By definition, febrile seizures occur when the child has a fever. Most febrile seizures are generalized. In other words, the whole body may be involved. […] During a generalized seizure, any or all of the following may be seen: Stiffening of the entire body, Jerking of the arms and legs, Complete lack of response to any stimuli, Eyes deviated, staring, rolling back, moving back and forth, Tightness of the jaws and mouth, Urinary incontinence (wet their pants), Noisy breathing, labored, slower than normal (unusual for a child to stop breathing completely). […] Although it may seem like an eternity if you are witnessing a seizure, most of these episodes last only 1-5 minutes. Afterward, the child is typically drowsy but usually starts to become responsive within 15-30 minutes. […] Following a seizure, a child may remain somewhat twitchy, with intermittent small jerks of the arms or legs. It can be difficult to distinguish these movements from seizure activity, but the caregiver should be reassured if the child’s body tone has become relaxed, breathing is regular, and the child begins to show some signs of responding to stimulation (will respond if talked to, for example).
  • #37 Febrile seizures
    https://www2.hse.ie/conditions/febrile-seizures/
    Febrile seizures (or febrile convulsions) are seizures (fits) that can happen when a child has a fever. A fever is usually caused by an infection. […] Febrile seizures are most common between the ages of 6 months and 3 years. […] A febrile seizure usually lasts less than 5 minutes. […] During a seizure, your child may: become stiff, twitch or jerk their arms or legs, lose consciousness, wet or soil themselves, vomit. […] Their eyes may also roll back. And their lips or skin may change colour, going pale or blue. […] After the seizure, they may be sleepy for up to 1 hour. […] A simple febrile seizure is a seizure that affects your child’s whole body, lasts less than 15 minutes, only happens once during 24 hours, your child fully recovers from. […] A complex febrile seizure is a seizure that may last longer than 15 minutes, reoccur within 24 hours, affect just part of the body, cause temporary weakness or other problems after the seizure ends.
  • #38 Fever – febrile convulsions | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/fever-febrile-convulsions
    A febrile convulsion is a fit or seizure that occurs in children aged between 6 months and 6 years when they have a high fever. […] The fit can last a few seconds or up to 15 minutes and is followed by drowsiness. Most fits last less than 2 to 3 minutes. […] The symptoms of febrile convulsions include: loss of consciousness (black out), twitching or jerking of arms and legs, breathing difficulty, foaming at the mouth, going pale or bluish in skin colour, eye rolling, so only the whites of their eyes are visible, your child may take 10 to 15 minutes to wake up properly afterwards. They may be irritable during this time and appear not to recognise you. […] Children suffer no pain or discomfort during a fit. […] A short-lived fit will not cause brain damage. Even a long fit almost never causes harm. Children who have had a febrile convulsion grow up healthy.
  • #39 HIE Multimedia – Febrile seizures
    https://sbrmc.adam.com/content.aspx?productid=117&pid=1&gid=000980
    A febrile seizure may be as mild as the child’s eyes rolling or limbs stiffening. A simple febrile seizure stops by itself within a few seconds to 10 minutes. It is often followed by a brief period of drowsiness or confusion. […] Symptoms may include any of the following: Sudden tightening (contraction) of muscles on both sides of a child’s body. The muscle tightening may last for several seconds or longer. The child may cry or moan. If standing, the child will fall. The child may vomit or bite their tongue. Sometimes, children do not breathe and may begin to turn blue. The child’s body may then begin to jerk rhythmically. The child will not respond to the parent’s voice. Urine may be passed. […] A seizure lasting longer than 15 minutes, is in just one part of the body, or that occurs again during the same illness is not a normal febrile seizure.
  • #40 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    A febrile seizure is a fit or convulsion caused by a sudden change in your child’s body temperature, and is usually associated with a fever (see our fact sheet Fever in children). […] Febrile seizures may be alarming and upsetting to witness, but they are not harmful to your child. Even very long seizures lasting an hour or more almost never cause harm. Febrile seizures do not cause brain damage, and there is no increased risk of epilepsy in children who have had simple febrile seizures. […] Signs and symptoms of febrile seizures: During a febrile seizure: your child will usually lose consciousness, their muscles may stiffen or jerk, your child may go red or blue in the face. […] The seizure may last for several minutes. When the movements stop, your child will regain consciousness, but they will probably remain sleepy or irritated afterwards.
  • #41 Febrile seizures
    https://www.nhs.uk/conditions/febrile-seizures/
    A febrile seizure can sometimes happen when a child has a high temperature. It’s not usually serious, but it’s important to get medical help if your child has a seizure. […] A febrile seizure can happen when a child has a high temperature (fever). […] Your child may: become stiff and twitch, shake, or have jerking movements; become unconscious; not respond or look at you when you talk to them; be sick or pee (wet themselves); be sleepy, irritable or confused for up to 1 hour afterwards. […] Febrile seizures usually last for 2 to 3 minutes. It’s rare for them to last more than 10 minutes. […] They usually affect children between 6 months and 6 years old. […] Most febrile seizures do not need treatment. But your child will need to be checked in hospital after having a febrile seizure for the first time. […] You cannot prevent febrile seizures. They can sometimes happen when your child has an infection and a high temperature.
  • #42 HIE Multimedia – Febrile seizures
    https://sbrmc.adam.com/content.aspx?productid=117&pid=1&gid=000980
    A febrile seizure may be as mild as the child’s eyes rolling or limbs stiffening. A simple febrile seizure stops by itself within a few seconds to 10 minutes. It is often followed by a brief period of drowsiness or confusion. […] Symptoms may include any of the following: Sudden tightening (contraction) of muscles on both sides of a child’s body. The muscle tightening may last for several seconds or longer. The child may cry or moan. If standing, the child will fall. The child may vomit or bite their tongue. Sometimes, children do not breathe and may begin to turn blue. The child’s body may then begin to jerk rhythmically. The child will not respond to the parent’s voice. Urine may be passed. […] A seizure lasting longer than 15 minutes, is in just one part of the body, or that occurs again during the same illness is not a normal febrile seizure.
  • #43 Febrile seizures | Lima Memorial Health System
    https://www.limamemorial.org/health-library/HIE%20Multimedia/1/000980
    A febrile seizure is a convulsion in a child triggered by a fever. […] A febrile seizure may be as mild as the child’s eyes rolling or limbs stiffening. A simple febrile seizure stops by itself within a few seconds to 10 minutes. It is often followed by a brief period of drowsiness or confusion. […] Symptoms may include any of the following: Sudden tightening (contraction) of muscles on both sides of a child’s body. The muscle tightening may last for several seconds or longer. The child may cry or moan. If standing, the child will fall. The child may vomit or bite their tongue. Sometimes, children do not breathe and may begin to turn blue. The child’s body may then begin to jerk rhythmically. The child will not respond to the parent’s voice. Urine may be passed. […] A seizure lasting longer than 15 minutes, is in just one part of the body, or that occurs again during the same illness is not a normal febrile seizure. […] It is normal for children to sleep or be drowsy or confused for a short time right after a seizure.
  • #44 Febrile Seizures – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/neurologic-disorders-in-children/febrile-seizures
    After the febrile seizure, children are often drowsy. This period of time after the seizure (postictal period) lasts a few minutes or sometimes lasts a few hours. […] Febrile seizures usually result from the fever itself. […] An important part of the definition of febrile seizures is that the fever and seizure are not caused by a brain infection such as meningitis or encephalitis. […] Febrile seizures that last 30 minutes or more are considered febrile status epilepticus. […] Children with febrile status epilepticus are at risk of brain damage if not treated promptly. […] About 20 to 35% of children have additional febrile seizures (recurrent febrile seizures). […] Children are more likely to have additional seizures if they were under 1 year old when they had the first febrile seizure or if they have close relatives who have had febrile seizures.
  • #45 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    A febrile seizure is a fit or convulsion caused by a sudden change in your child’s body temperature, and is usually associated with a fever (see our fact sheet Fever in children). […] Febrile seizures may be alarming and upsetting to witness, but they are not harmful to your child. Even very long seizures lasting an hour or more almost never cause harm. Febrile seizures do not cause brain damage, and there is no increased risk of epilepsy in children who have had simple febrile seizures. […] Signs and symptoms of febrile seizures: During a febrile seizure: your child will usually lose consciousness, their muscles may stiffen or jerk, your child may go red or blue in the face. […] The seizure may last for several minutes. When the movements stop, your child will regain consciousness, but they will probably remain sleepy or irritated afterwards.
  • #46 Febrile seizures | Lima Memorial Health System
    https://www.limamemorial.org/health-library/HIE%20Multimedia/1/000980
    A febrile seizure is a convulsion in a child triggered by a fever. […] A febrile seizure may be as mild as the child’s eyes rolling or limbs stiffening. A simple febrile seizure stops by itself within a few seconds to 10 minutes. It is often followed by a brief period of drowsiness or confusion. […] Symptoms may include any of the following: Sudden tightening (contraction) of muscles on both sides of a child’s body. The muscle tightening may last for several seconds or longer. The child may cry or moan. If standing, the child will fall. The child may vomit or bite their tongue. Sometimes, children do not breathe and may begin to turn blue. The child’s body may then begin to jerk rhythmically. The child will not respond to the parent’s voice. Urine may be passed. […] A seizure lasting longer than 15 minutes, is in just one part of the body, or that occurs again during the same illness is not a normal febrile seizure. […] It is normal for children to sleep or be drowsy or confused for a short time right after a seizure.
  • #47 Febrile (Fever) Seizures: Symptoms, Causes, Treatment
    https://www.webmd.com/children/febrile-seizures
    If your child ever had a febrile (fever) seizure, its something you probably wont forget. But while these look scary, usually there are no long-term effects. […] A temperature above 100.4 F may do it, or the seizure may be a result of how quickly your childs fever spikes. […] Symptoms include: Convulsions shaking and twitching all over the body, Fever of 100.4 or greater, Eye-rolling, Unresponsiveness, Moaning, Losing bowel or bladder control, Bleeding tongue or mouth from biting down. […] Your child may feel sleepy, irritable, cranky or confused for a few hours once its over. […] A complex febrile seizure is a greater concern. It may require additional examination, including lab work, imaging, a spinal tap or even a hospital admission. […] About 32% of kids whove had a febrile seizure will get another within a year or two. […] It wont necessarily happen every time your child has a fever or at the same temperature as the first. […] Simple febrile seizures dont cause brain damage or affect your childs ability to learn. […] A simple febrile seizure should not cause any long-term consequences.
  • #48 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    A febrile seizure is a fit or convulsion caused by a sudden change in your child’s body temperature, and is usually associated with a fever (see our fact sheet Fever in children). […] Febrile seizures may be alarming and upsetting to witness, but they are not harmful to your child. Even very long seizures lasting an hour or more almost never cause harm. Febrile seizures do not cause brain damage, and there is no increased risk of epilepsy in children who have had simple febrile seizures. […] Signs and symptoms of febrile seizures: During a febrile seizure: your child will usually lose consciousness, their muscles may stiffen or jerk, your child may go red or blue in the face. […] The seizure may last for several minutes. When the movements stop, your child will regain consciousness, but they will probably remain sleepy or irritated afterwards.
  • #49 Febrile Seizures: Overview, Symptoms, Treatment and Prevention
    https://www.nationwidechildrens.org/conditions/febrile-seizures
    For most children, fevers cause minor discomfort, but in some, they can trigger seizures. If your child has a seizure when they have a fever, its called a febrile seizure. These are common types of seizures in children. They may be the first sign of illness because the seizure may happen before the child has a fever or other symptoms. Children with febrile seizures may not have a seizure each time theyre sick. […] Febrile seizures may happen again if your child has already had one. Its likely your child will have more than one febrile seizure if: […] They usually dont last long and dont cause brain damage, learning disabilities, or epilepsy. […] Usually happen on the first day and in the first few hours of an illness with a fever. […] Can be associated with: A temperature of 100.4 Fahrenheit (F) or 38 Celsius (C) or higher. […] During a febrile seizure, a child may: Have irregular breathing. […] Stiffen, jerk, or twitch their arm and leg muscles. […] When the seizure stops, your child may: Be tired and confused. […] Not remember having a seizure.
  • #50 Febrile seizures and kids: What parents should know – CHOC – Children’s health hub
    https://health.choc.org/febrile-seizures-and-kids-what-parents-should-know/
    Call 911 or visit your nearest emergency department if your child has the following symptoms: Has a febrile seizure that lasts longer than 5 minutes. The seizure involves only some parts of the body instead of the whole body. Has trouble breathing or turns blue. Isn’t responding normally. Has another seizure within 24 hours. […] Following a febrile seizure, your child may be tired, sleepy or irritable. However, they should return to their normal self after a few hours. […] Febrile seizures, in general, do not have any lasting effects or permanent damage. Children often do not need to be treated or medicated with anti-epileptic medications. […] A febrile seizure is a seizure provoked by a fever. […] A child may convulse, shake and twitch. Their eyes might also roll back, and they may become limp and unresponsive. […] 30% of children who have experienced a febrile seizure will experience another one after. If your child is younger than 12 months old or older than 4 and is experiencing febrile seizures, your pediatrician may refer you to a specialist for a neurology consultation.
  • #51 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    A febrile seizure is a convulsion in a child that’s caused by a fever. The fever is often from an infection. Febrile seizures occur in young, healthy children who have normal development and haven’t had any neurological symptoms before. […] It can be frightening when your child has a febrile seizure. Fortunately, febrile seizures are usually harmless, only last a few minutes, and typically don’t indicate a serious health problem. […] Usually, a child having a febrile seizure shakes all over and loses consciousness. Sometimes, the child may get very stiff or twitch in just one area of the body. […] A child having a febrile seizure may: Have a fever higher than 100.4 F (38.0 C), Lose consciousness, Shake or jerk the arms and legs. […] Febrile seizures most often occur within 24 hours of the onset of a fever and can be the first sign that a child is ill.
  • #52 Febrile Seizures | National Institute of Neurological Disorders and Stroke
    https://www.ninds.nih.gov/health-information/disorders/febrile-seizures
    A febrile seizure is a seizure caused by a fever in healthy infants and young children. Any fever may cause a febrile seizure. These seizures may happen when a child has an illness such as a cold, the flu, roseola, chickenpox, COVID-19, RSV (respiratory syncytial virus), or an ear infection. Most febrile seizures occur within 24 hours of a child getting sick. Sometimes, a child may have a seizure before developing a fever. […] Symptoms of febrile seizures may include: Loss of consciousness or passing out, Uncontrollable shaking, jerking, or stiffening in the arms or legs (may be the whole body or only part of the body), Eye rolling, Loss of bodily control (such as drooling, vomiting, urinating, or having a bowel movement). […] Simple febrile seizures are the most common type. They last a few seconds up to 15 minutes, and happen only once in 24 hours.
  • #53 Febrile Seizures – Pediatric Associates of Austin
    https://www.pediatricassociates.net/conditions/febrile-seizures
    Febrile seizures can affect children when they have an elevated temperature. […] A febrile seizure can be identified by body shaking and a loss of consciousness. In some cases, your child may be stiff or twitch in just one area of the body. […] Symptoms of a febrile seizure include: A fever exceeding 100.4F (38.0C), Loss of consciousness, Jerking or convulsive movements of the arms and legs. […] Febrile seizures usually occur within 24 hours from the start of a fever. They are often the first sign that your child is ill. […] These brief episodes typically last from a few seconds to 15 minutes. They do not recur within a 24-hour timeframe and are not confined to a specific part of the body. […] These are characterized by seizures lasting longer than 15 minutes. Your child may have repeated seizures within 24 hours, and the seizure is seen in only one side of the body.
  • #54 Febrile seizures | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/febrile-seizures/
    A febrile seizure is a fit that can happen when a child has a fever. […] During a febrile seizure, the child’s body usually becomes stiff, they lose consciousness and their arms and legs twitch. Some children may wet themselves. This is known as a tonic clonic seizure. […] The main symptom of a febrile seizure is a fit that occurs while a child has a fever. […] Febrile seizures often occur during the first day of a fever, which is defined as a high temperature of 38C (100.4F) or above. […] However, there appears to be no connection between the extent of your child’s fever and the start of a seizure. Seizures can occur even if your child has a mild fever. […] Simple febrile seizures can happen when there’s a rapid rise in temperature and you may only realise your child is ill when they have a fit. Alternatively, they can occur as your child’s temperature drops from a high level.
  • #55 How to Prevent Febrile Seizure, Treatment, Symptoms & Causes
    https://www.emedicinehealth.com/seizures_and_fever/article_em.htm
    By definition, febrile seizures occur when the child has a fever. Most febrile seizures are generalized. In other words, the whole body may be involved. […] During a generalized seizure, any or all of the following may be seen: Stiffening of the entire body, Jerking of the arms and legs, Complete lack of response to any stimuli, Eyes deviated, staring, rolling back, moving back and forth, Tightness of the jaws and mouth, Urinary incontinence (wet their pants), Noisy breathing, labored, slower than normal (unusual for a child to stop breathing completely). […] Although it may seem like an eternity if you are witnessing a seizure, most of these episodes last only 1-5 minutes. Afterward, the child is typically drowsy but usually starts to become responsive within 15-30 minutes. […] Following a seizure, a child may remain somewhat twitchy, with intermittent small jerks of the arms or legs. It can be difficult to distinguish these movements from seizure activity, but the caregiver should be reassured if the child’s body tone has become relaxed, breathing is regular, and the child begins to show some signs of responding to stimulation (will respond if talked to, for example).
  • #56 Understanding Febrile Seizures
    https://www.tsmh.org.tw/sites/nursing_department/en/ped_02.html
    Febrile seizures are seizures that often occur with a fever, usually within the first 24 hours of the fever, especially within the first few hours of the fever. Simple febrile seizures are generalized seizures that typically last less than 15 minutes. Consciousness returns quickly after the seizure ends and energy is regained within half an hour, sometimes even within a minute, and there is only one seizure episode within a day. […] The symptoms of febrile seizures include loss of consciousness, blue lips and nails, eyes rolled up, jerking movements of the arms and legs, and stiffening of the entire body’s muscles. […] After the seizure, did the patient experience headaches, dizziness, fatigue, drowsiness, or weakness in one side of their body?
  • #57 Febrile Seizures Following Childhood Vaccinations, Including Influenza Vaccination | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccine-safety/febrile.html
    The word febrile refers to having a fever. A seizure is a convulsion or uncontrolled body movements. A febrile seizure refers to a seizure/convulsion associated with a fever in a child. Febrile seizures usually last around one or two minutes and can occur with any condition that causes fever, such as a cold, influenza, or ear infection. They are most common with fevers of 102F (38.9C) or higher, but they can also happen at lower body temperatures or when a fever is going down. A person experiencing a febrile seizure may lose consciousness. […] Most febrile seizures happen in children between the ages of 6 and 59 months. Up to 5% of young children will have at least one febrile seizure. The most common age range for children to have febrile seizures is 14-18 months. […] Febrile seizures can be frightening, but nearly all children who have a febrile seizure recover quickly, are healthy afterwards, and do not have any permanent neurological damage. Febrile seizures do not make children more likely to develop epilepsy or any other seizure disorder. […] Vaccines can cause fevers, but febrile seizures are rare after vaccination. Importantly, getting sick with the flu also can cause febrile seizures. […] Flu illness can cause high fever and febrile seizures in children.
  • #58 Understanding Febrile Seizures
    https://www.tsmh.org.tw/sites/nursing_department/en/ped_02.html
    Febrile seizures are seizures that often occur with a fever, usually within the first 24 hours of the fever, especially within the first few hours of the fever. Simple febrile seizures are generalized seizures that typically last less than 15 minutes. Consciousness returns quickly after the seizure ends and energy is regained within half an hour, sometimes even within a minute, and there is only one seizure episode within a day. […] The symptoms of febrile seizures include loss of consciousness, blue lips and nails, eyes rolled up, jerking movements of the arms and legs, and stiffening of the entire body’s muscles. […] After the seizure, did the patient experience headaches, dizziness, fatigue, drowsiness, or weakness in one side of their body?
  • #59 Febrile Seizure: Symptoms & Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/articles/febrile-seizure?srsltid=AfmBOopwrdBTxNAlRBMhaa8Hj0Fx-2-6xFqujzLYNeNWUobQlZRt5_ew
    Common symptoms include unresponsiveness, rolling of the eyes, and shaking movements or stiffness of the arms and legs. […] After the febrile seizure, help the infant or child rest on their side with their head tilted back to open the airway. Make sure the child is breathing. […] Acetaminophen or ibuprofen (per manufactures instructions) can be given orally if the child is awake and able to swallow. If the child is not awake and acetaminophen suppositories are available, they may be administered. This has not been shown to prevent recurrent febrile seizures in the present or recurrent illness, but anti-pyretics may make the child feel better.
  • #60 Fever Seizures | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.fever-seizures.fevcv
    Fever seizures (sometimes called fever convulsions or febrile seizures) can occur in children who have an increase in body temperature. Most children who have a fever seizure have temperatures above 102F (39C). […] Children who are having a seizure often lose consciousness and shake, moving their arms and legs on both sides of the body. Their eyes may roll back. They may stop breathing for a few seconds. They might also vomit, urinate, or pass stools. It’s important to protect a child from injury during a seizure. […] Fever seizures usually last 1 to 3 minutes. After a seizure, children may be sleepy. You can let them sleep, but check them often for changes in color or breathing or for twitching arms or legs. Children also may seem confused after a seizure. But their behavior and activity level should be back to normal within minutes of the seizure.
  • #61 Febrile Seizure | Conditions | UCSF Benioff Children’s Hospitals
    https://www.ucsfbenioffchildrens.org/conditions/febrile-seizure
    Febrile seizures affect approximately 2% of children in the United States, generally presenting in toddlers near age 2, but with an overall range from 3 months to 5 years. […] They can be rooted in genetics – a family history of febrile seizures is identified in about 25% of cases. […] A sudden loss of consciousness […] Becoming limp with eyes rolled up […] Rhythmic jerking movements of the arms or legs, or the whole body stiffens […] Rapid return to consciousness […] A period of drowsiness or confusion after the seizure. […] If a child has one of the following, they have an atypical febrile seizure and may be showing early signs of epilepsy. […] Prolonged seizure activity longer than 15 minutes […] Only one side of the body is involved in the seizure […] More than one seizure during the same febrile illness. […] Febrile convulsions are not considered to be a form of epilepsy. These seizures are provoked by high fever and are harmless and self-limited, although they can understandably be frightening.
  • #62
    https://www.cheo.on.ca/en/resources-and-support/p5305.aspx
    A febrile seizure is a seizure (convulsion) that happens while a child has a fever. A fever is a temperature greater than 38C (100.4F). […] Febrile seizures are usually brief and only last a couple of minutes. […] A child having a febrile seizure: Will have sudden, uncontrolled movements or stiffening of the arms and legs, Will have eyes rolling back, Loses consciousness during the seizure, May have noisy breathing, Will wake up when the movements stop, but may be sleepy for up to an hour after. […] Most children who have a febrile seizure do not have epilepsy. Studies show that 97% of all children who get febrile seizures do not have epilepsy later on. Most children outgrow febrile seizures by the age of 5 years. […] No. Most children only ever have one febrile seizure in their lives. There is a 1 in 3 chance that your child will have another seizure with a fever in the future.
  • #63 How to Prevent Febrile Seizure, Treatment, Symptoms & Causes
    https://www.emedicinehealth.com/seizures_and_fever/article_em.htm
    By definition, febrile seizures occur when the child has a fever. Most febrile seizures are generalized. In other words, the whole body may be involved. […] During a generalized seizure, any or all of the following may be seen: Stiffening of the entire body, Jerking of the arms and legs, Complete lack of response to any stimuli, Eyes deviated, staring, rolling back, moving back and forth, Tightness of the jaws and mouth, Urinary incontinence (wet their pants), Noisy breathing, labored, slower than normal (unusual for a child to stop breathing completely). […] Although it may seem like an eternity if you are witnessing a seizure, most of these episodes last only 1-5 minutes. Afterward, the child is typically drowsy but usually starts to become responsive within 15-30 minutes. […] Following a seizure, a child may remain somewhat twitchy, with intermittent small jerks of the arms or legs. It can be difficult to distinguish these movements from seizure activity, but the caregiver should be reassured if the child’s body tone has become relaxed, breathing is regular, and the child begins to show some signs of responding to stimulation (will respond if talked to, for example).
  • #64 Patient education: Febrile seizures (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print
    Most febrile seizures cause convulsions or rhythmic twitching or movement in the face, arms, or legs that lasts less than one to two minutes. Less commonly, the convulsion lasts 15 minutes or more. […] Children who have a febrile seizure are at risk for having another febrile seizure; the recurrence rate is approximately 30 to 35 percent. Recurrent febrile seizures do not necessarily occur at the same temperature as the first episode, and do not occur every time the child has a fever. Most recurrences occur within one year of the initial seizure and almost all occur within two years.
  • #65 Febrile seizure – Wikipedia
    https://en.wikipedia.org/wiki/Febrile_seizure
    Febrile seizures are triggered by fever, typically due to a viral infection. […] Signs of typical seizure activity include loss of consciousness, opened eyes which may be deviated or appear to be looking towards one direction, irregular breathing, increased secretions or foaming at the mouth, and the child may look pale or blue (cyanotic). […] Febrile seizures happen between the ages of 6 months and 5 years. […] The peak age for a febrile seizure is 18 months, with the most common age range being 12-30 months of age. […] Febrile seizures affect 2-5% of children. […] After a single febrile seizure there is an approximately 35% chance of having another one during childhood. […] Long term outcomes are generally good with little risk of neurological problems or epilepsy. […] Those who have one febrile seizure have an approximately 30-40% chance of having another one in the next two years, with the risk being greater in those who are younger. […] Simple febrile seizures do not tend to recur frequently (children tend to outgrow them) and do not make the development of adult epilepsy significantly more likely.
  • #66 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    Most febrile seizures produce no lasting effects. Simple febrile seizures don’t cause brain damage, intellectual disability or learning disabilities, and they don’t mean your child has a more serious underlying disorder. […] Febrile seizures are provoked seizures and don’t indicate epilepsy. Epilepsy is a condition characterized by recurrent unprovoked seizures caused by abnormal electrical signals in the brain. […] The most common complication is the possibility of more febrile seizures. The risk of recurrence is higher if: Your child’s first seizure resulted from a low-grade fever, The febrile seizure was the first sign of illness, An immediate family member has a history of febrile seizures, Your child was younger than 18 months at the time of the first febrile seizure.
  • #67 Febrile convulsions – Don’t Forget the Bubbles
    https://dontforgetthebubbles.com/febrile-seizures/
    30% of the children with a first episode of febrile convulsion will have a recurrence in the future. The following are risk factors associated with a higher risk of recurrence: Onset before the 18 months, Shorter duration of fever (1 hour) before the onset of the seizure, Lower temperature close to 38oC, Family history of febrile seizures. […] The vast majority of children presenting with febrile convulsions do not develop epilepsy. The following are risk factors for developing afebrile seizures: Complex febrile seizures, Presence of neurodevelopmental abnormality, Family history of epilepsy, Prolonged febrile seizures. […] The seizures are benign. There is a 30% chance of them recurring. There is little evidence behind using antipyretic agents solely to keep temperature down or to prevent future episodes.
  • #68 Febrile seizures
    https://www2.hse.ie/conditions/febrile-seizures/
    About 1 in 3 children who has a febrile seizure has another during a future infection. This often happens within 1 year of the first seizure. […] Another seizure is more likely if your child was under 18 months old when they had the first seizure, had a high temperature of 38 degrees Celsius or above for less than 1 hour before the first seizure, had a complex febrile seizure, goes to a crche or other childcare – this increases their risk of getting common childhood infections. […] There is an increased risk of developing epilepsy but the risk is small. Children with a history of simple febrile seizures have a 1 in 50 chance of developing epilepsy in later life. There is a 1 in 20 chance with complex febrile seizures. […] Even though febrile seizures can be frightening for parents, they do not usually harm the brain.
  • #69 Febrile Seizures – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/neurologic-disorders-in-children/febrile-seizures
    After the febrile seizure, children are often drowsy. This period of time after the seizure (postictal period) lasts a few minutes or sometimes lasts a few hours. […] Febrile seizures usually result from the fever itself. […] An important part of the definition of febrile seizures is that the fever and seizure are not caused by a brain infection such as meningitis or encephalitis. […] Febrile seizures that last 30 minutes or more are considered febrile status epilepticus. […] Children with febrile status epilepticus are at risk of brain damage if not treated promptly. […] About 20 to 35% of children have additional febrile seizures (recurrent febrile seizures). […] Children are more likely to have additional seizures if they were under 1 year old when they had the first febrile seizure or if they have close relatives who have had febrile seizures.
  • #70 Febrile Seizures: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/801500-overview
    Viral illnesses are the predominant cause of febrile seizures. Recent literature documented the presence of human herpes simplex virus 6 (HHSV-6) as the etiologic agent in roseola in about 20% of a group of patients presenting with their first febrile seizures. Other viruses that have been commonly implicated in febrile seizures are influenza viruses, adenoviruses, and parainfluenza viruses. […] About one third of all children with a first febrile seizure experience recurrent seizures. Risk factors for recurrent febrile seizures include the following: Young age at time of first febrile seizure, relatively low fever at time of first seizure, family history of a febrile seizure in a first-degree relative, brief duration between fever onset and initial seizure, multiple initial febrile seizures during same episode. […] Children with febrile seizures have a slightly higher incidence of epilepsy compared with the general population (2% vs 1%). Risk factors for epilepsy later in life include complex febrile seizure, family history of epilepsy or neurologic abnormality, and developmental delay.
  • #71 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    Most febrile seizures produce no lasting effects. Simple febrile seizures don’t cause brain damage, intellectual disability or learning disabilities, and they don’t mean your child has a more serious underlying disorder. […] Febrile seizures are provoked seizures and don’t indicate epilepsy. Epilepsy is a condition characterized by recurrent unprovoked seizures caused by abnormal electrical signals in the brain. […] The most common complication is the possibility of more febrile seizures. The risk of recurrence is higher if: Your child’s first seizure resulted from a low-grade fever, The febrile seizure was the first sign of illness, An immediate family member has a history of febrile seizures, Your child was younger than 18 months at the time of the first febrile seizure.
  • #72 Febrile convulsions – Don’t Forget the Bubbles
    https://dontforgetthebubbles.com/febrile-seizures/
    30% of the children with a first episode of febrile convulsion will have a recurrence in the future. The following are risk factors associated with a higher risk of recurrence: Onset before the 18 months, Shorter duration of fever (1 hour) before the onset of the seizure, Lower temperature close to 38oC, Family history of febrile seizures. […] The vast majority of children presenting with febrile convulsions do not develop epilepsy. The following are risk factors for developing afebrile seizures: Complex febrile seizures, Presence of neurodevelopmental abnormality, Family history of epilepsy, Prolonged febrile seizures. […] The seizures are benign. There is a 30% chance of them recurring. There is little evidence behind using antipyretic agents solely to keep temperature down or to prevent future episodes.
  • #73 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    Most febrile seizures produce no lasting effects. Simple febrile seizures don’t cause brain damage, intellectual disability or learning disabilities, and they don’t mean your child has a more serious underlying disorder. […] Febrile seizures are provoked seizures and don’t indicate epilepsy. Epilepsy is a condition characterized by recurrent unprovoked seizures caused by abnormal electrical signals in the brain. […] The most common complication is the possibility of more febrile seizures. The risk of recurrence is higher if: Your child’s first seizure resulted from a low-grade fever, The febrile seizure was the first sign of illness, An immediate family member has a history of febrile seizures, Your child was younger than 18 months at the time of the first febrile seizure.
  • #74 Febrile Seizures – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/neurologic-disorders-in-children/febrile-seizures
    After the febrile seizure, children are often drowsy. This period of time after the seizure (postictal period) lasts a few minutes or sometimes lasts a few hours. […] Febrile seizures usually result from the fever itself. […] An important part of the definition of febrile seizures is that the fever and seizure are not caused by a brain infection such as meningitis or encephalitis. […] Febrile seizures that last 30 minutes or more are considered febrile status epilepticus. […] Children with febrile status epilepticus are at risk of brain damage if not treated promptly. […] About 20 to 35% of children have additional febrile seizures (recurrent febrile seizures). […] Children are more likely to have additional seizures if they were under 1 year old when they had the first febrile seizure or if they have close relatives who have had febrile seizures.
  • #75 Febrile seizures
    https://www2.hse.ie/conditions/febrile-seizures/
    About 1 in 3 children who has a febrile seizure has another during a future infection. This often happens within 1 year of the first seizure. […] Another seizure is more likely if your child was under 18 months old when they had the first seizure, had a high temperature of 38 degrees Celsius or above for less than 1 hour before the first seizure, had a complex febrile seizure, goes to a crche or other childcare – this increases their risk of getting common childhood infections. […] There is an increased risk of developing epilepsy but the risk is small. Children with a history of simple febrile seizures have a 1 in 50 chance of developing epilepsy in later life. There is a 1 in 20 chance with complex febrile seizures. […] Even though febrile seizures can be frightening for parents, they do not usually harm the brain.
  • #76 Patient education: Febrile seizures (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics/print
    Most febrile seizures cause convulsions or rhythmic twitching or movement in the face, arms, or legs that lasts less than one to two minutes. Less commonly, the convulsion lasts 15 minutes or more. […] Children who have a febrile seizure are at risk for having another febrile seizure; the recurrence rate is approximately 30 to 35 percent. Recurrent febrile seizures do not necessarily occur at the same temperature as the first episode, and do not occur every time the child has a fever. Most recurrences occur within one year of the initial seizure and almost all occur within two years.
  • #77 Febrile (Fever) Seizures: Symptoms, Causes, Treatment
    https://www.webmd.com/children/febrile-seizures
  • #78 Patient education: Febrile seizures (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/febrile-seizures-beyond-the-basics
    Most febrile seizures cause convulsions or rhythmic twitching or movement in the face, arms, or legs that lasts less than one to two minutes. Less commonly, the convulsion lasts 15 minutes or more. […] A child who has a febrile seizure should be seen by a health professional as soon as possible to determine the cause of the fever. Some children, particularly those less than 12 months of age, may undergo testing to ensure that the fever is not related to meningitis, a serious infection of the lining of the brain. […] Children who have a febrile seizure are at risk for having another febrile seizure; the recurrence rate is approximately 30 to 35 percent. Recurrent febrile seizures do not necessarily occur at the same temperature as the first episode, and do not occur every time the child has a fever. Most recurrences occur within one year of the initial seizure and almost all occur within two years.
  • #79 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    Usually, a febrile seizure happens if your child’s temperature goes up suddenly. Sometimes, a seizure occurs before parents actually realise their child has a fever. […] Febrile seizures are not harmful to your child, and will not cause brain damage. […] About one in three children will have more febrile seizures with future febrile illnesses. Your child will outgrow the tendency to have febrile seizures by the time they are about 6 years old. […] No. No matter how dramatic and frightening febrile seizures may look, they do not cause brain damage. Even very long seizures lasting an hour or more almost never cause any harm.
  • #80 Febrile Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448123/
    Febrile seizures are typically harmless and do not cause long-term neurological or cognitive problems. The majority of children who experience febrile seizures have normal developmental outcomes. […] Approximately 1% to 2% of children with simple febrile seizures, which is only slightly higher than the general population of .5% to .9%, may develop epilepsy later on. However, children with a history of complex febrile seizure, febrile seizure at an earlier age, prolonged febrile seizure, abnormal neurodevelopment, abnormal EEG, and a family history of epilepsy have an estimated 2% to 10% risk of developing epilepsy, depending now how many risk factors are present.
  • #81 Febrile seizure – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/febrile-seizure/symptoms-causes/syc-20372522
    Most febrile seizures produce no lasting effects. Simple febrile seizures don’t cause brain damage, intellectual disability or learning disabilities, and they don’t mean your child has a more serious underlying disorder. […] Febrile seizures are provoked seizures and don’t indicate epilepsy. Epilepsy is a condition characterized by recurrent unprovoked seizures caused by abnormal electrical signals in the brain. […] The most common complication is the possibility of more febrile seizures. The risk of recurrence is higher if: Your child’s first seizure resulted from a low-grade fever, The febrile seizure was the first sign of illness, An immediate family member has a history of febrile seizures, Your child was younger than 18 months at the time of the first febrile seizure.
  • #82 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    Usually, a febrile seizure happens if your child’s temperature goes up suddenly. Sometimes, a seizure occurs before parents actually realise their child has a fever. […] Febrile seizures are not harmful to your child, and will not cause brain damage. […] About one in three children will have more febrile seizures with future febrile illnesses. Your child will outgrow the tendency to have febrile seizures by the time they are about 6 years old. […] No. No matter how dramatic and frightening febrile seizures may look, they do not cause brain damage. Even very long seizures lasting an hour or more almost never cause any harm.
  • #83 Febrile Seizure Treatment, Definition, Symptoms & Causes
    https://www.medicinenet.com/febrile_seizures/article.htm
    Although they can be frightening to parents, the vast majority of febrile seizures are harmless. During a seizure, there is a small chance that the child may be injured by falling or may choke from food or saliva in the mouth. Using proper first aid for seizures can help avoid these hazards. […] There is no evidence that febrile seizures cause brain damage. Large studies have found that children with febrile seizures have normal school achievement and perform as well on intellectual tests as their siblings who don’t have seizures. Even in the rare instances of very prolonged seizures (more than 1 hour), most children recover completely. […] Between 95 and 98 percent of children who have experienced febrile seizures do not go on to develop epilepsy. However, although the absolute risk remains very small, certain children who have febrile seizures face an increased risk of developing epilepsy. These children include those who have febrile seizures that are lengthy, that affect only part of the body, or that recur within 24 hours, and children with cerebral palsy, delayed development, or other neurological abnormalities. Among children who don’t have any of these risk factors, only one in 100 develops epilepsy after a febrile seizure.
  • #84 Febrile Seizures: What to Look for and How to Take Action | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/febrile-seizures-what-look-and-how-take-action
    Even though febrile seizures can be scary, theres no need to fear the worst outcome. Most febrile seizures are short and dont cause any long-term problems. […] Even when a febrile seizure lasts a long time, most children recover completely. […] Febrile seizures do not cause brain damage, lowered IQ or lowered school achievement later in life. […] Most children outgrow febrile seizures altogether by 5 to 6 years old. […] Once a child has experienced one febrile seizure, however, they are more likely to have another.
  • #85 Febrile Seizures – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/febrile-seizures/
    A viral infection is often the immediate cause of a febrile seizure. However, there is often a genetic component to a child’s susceptibility to this condition. […] About one in three children who experienced a febrile seizure may have additional febrile seizures. These usually occur between the ages of 6 months and 5 years. On rare occasions, they can recur even in children over 5. Like single febrile seizures, recurrences are largely unharmful. […] The risk of developing epilepsy after a febrile seizure is very low. Therefore, daily anti-seizure medications are not recommended to prevent febrile seizure recurrence. The side effects from a daily medication far outweigh the minimal discomfort of a febrile seizure. […] Febrile seizures are unique because they are age dependent. This means they are related to brain maturity. They are largely outgrown by age 5. […] In the long-term, even children with recurrent or prolonged febrile seizures have the same characteristics as those without febrile seizures. […] Febrile seizures have not been found to impact: Intellectual capacity, School performance, Personality, Behavior, Future health.
  • #86 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    Usually, a febrile seizure happens if your child’s temperature goes up suddenly. Sometimes, a seizure occurs before parents actually realise their child has a fever. […] Febrile seizures are not harmful to your child, and will not cause brain damage. […] About one in three children will have more febrile seizures with future febrile illnesses. Your child will outgrow the tendency to have febrile seizures by the time they are about 6 years old. […] No. No matter how dramatic and frightening febrile seizures may look, they do not cause brain damage. Even very long seizures lasting an hour or more almost never cause any harm.
  • #87 Febrile Seizures: What to Look for and How to Take Action | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/febrile-seizures-what-look-and-how-take-action
    Even though febrile seizures can be scary, theres no need to fear the worst outcome. Most febrile seizures are short and dont cause any long-term problems. […] Even when a febrile seizure lasts a long time, most children recover completely. […] Febrile seizures do not cause brain damage, lowered IQ or lowered school achievement later in life. […] Most children outgrow febrile seizures altogether by 5 to 6 years old. […] Once a child has experienced one febrile seizure, however, they are more likely to have another.
  • #88 Febrile Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448123/
    Febrile seizures are typically harmless and do not cause long-term neurological or cognitive problems. The majority of children who experience febrile seizures have normal developmental outcomes. […] Approximately 1% to 2% of children with simple febrile seizures, which is only slightly higher than the general population of .5% to .9%, may develop epilepsy later on. However, children with a history of complex febrile seizure, febrile seizure at an earlier age, prolonged febrile seizure, abnormal neurodevelopment, abnormal EEG, and a family history of epilepsy have an estimated 2% to 10% risk of developing epilepsy, depending now how many risk factors are present.
  • #89 Febrile Seizures – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/neurologic-disorders-in-children/febrile-seizures
    Children who have had a simple febrile seizure have a slightly increased risk (about 2 to 6%) of developing a seizure disorder that does not involve a fever (nonfebrile seizures, or epilepsy). […] If children have had a complex febrile seizure or have additional risk factors (such as developmental delay or a family history of seizures), the risk is higher (up to 10%). […] Simple febrile seizures are not thought to cause epilepsy or other neurologic abnormalities. However, a febrile seizure is sometimes the first sign of a previously unrecognized neurologic disorder or seizure disorder. […] If children have had a febrile seizure, parents should watch for and treat high fevers, which can trigger a seizure. […] Medications to prevent additional seizures (antiseizure medications) are usually not given to children who have had only a few simple febrile seizures.
  • #90 Febrile Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448123/
    Febrile seizures are typically harmless and do not cause long-term neurological or cognitive problems. The majority of children who experience febrile seizures have normal developmental outcomes. […] Approximately 1% to 2% of children with simple febrile seizures, which is only slightly higher than the general population of .5% to .9%, may develop epilepsy later on. However, children with a history of complex febrile seizure, febrile seizure at an earlier age, prolonged febrile seizure, abnormal neurodevelopment, abnormal EEG, and a family history of epilepsy have an estimated 2% to 10% risk of developing epilepsy, depending now how many risk factors are present.
  • #91 Febrile Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448123/
    Febrile seizures are typically harmless and do not cause long-term neurological or cognitive problems. The majority of children who experience febrile seizures have normal developmental outcomes. […] Approximately 1% to 2% of children with simple febrile seizures, which is only slightly higher than the general population of .5% to .9%, may develop epilepsy later on. However, children with a history of complex febrile seizure, febrile seizure at an earlier age, prolonged febrile seizure, abnormal neurodevelopment, abnormal EEG, and a family history of epilepsy have an estimated 2% to 10% risk of developing epilepsy, depending now how many risk factors are present.
  • #92 Febrile seizures
    https://www2.hse.ie/conditions/febrile-seizures/
    About 1 in 3 children who has a febrile seizure has another during a future infection. This often happens within 1 year of the first seizure. […] Another seizure is more likely if your child was under 18 months old when they had the first seizure, had a high temperature of 38 degrees Celsius or above for less than 1 hour before the first seizure, had a complex febrile seizure, goes to a crche or other childcare – this increases their risk of getting common childhood infections. […] There is an increased risk of developing epilepsy but the risk is small. Children with a history of simple febrile seizures have a 1 in 50 chance of developing epilepsy in later life. There is a 1 in 20 chance with complex febrile seizures. […] Even though febrile seizures can be frightening for parents, they do not usually harm the brain.
  • #93 Febrile Seizure Treatment, Definition, Symptoms & Causes
    https://www.medicinenet.com/febrile_seizures/article.htm
    Although they can be frightening to parents, the vast majority of febrile seizures are harmless. During a seizure, there is a small chance that the child may be injured by falling or may choke from food or saliva in the mouth. Using proper first aid for seizures can help avoid these hazards. […] There is no evidence that febrile seizures cause brain damage. Large studies have found that children with febrile seizures have normal school achievement and perform as well on intellectual tests as their siblings who don’t have seizures. Even in the rare instances of very prolonged seizures (more than 1 hour), most children recover completely. […] Between 95 and 98 percent of children who have experienced febrile seizures do not go on to develop epilepsy. However, although the absolute risk remains very small, certain children who have febrile seizures face an increased risk of developing epilepsy. These children include those who have febrile seizures that are lengthy, that affect only part of the body, or that recur within 24 hours, and children with cerebral palsy, delayed development, or other neurological abnormalities. Among children who don’t have any of these risk factors, only one in 100 develops epilepsy after a febrile seizure.
  • #94 Febrile Seizures: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/801500-overview
    Viral illnesses are the predominant cause of febrile seizures. Recent literature documented the presence of human herpes simplex virus 6 (HHSV-6) as the etiologic agent in roseola in about 20% of a group of patients presenting with their first febrile seizures. Other viruses that have been commonly implicated in febrile seizures are influenza viruses, adenoviruses, and parainfluenza viruses. […] About one third of all children with a first febrile seizure experience recurrent seizures. Risk factors for recurrent febrile seizures include the following: Young age at time of first febrile seizure, relatively low fever at time of first seizure, family history of a febrile seizure in a first-degree relative, brief duration between fever onset and initial seizure, multiple initial febrile seizures during same episode. […] Children with febrile seizures have a slightly higher incidence of epilepsy compared with the general population (2% vs 1%). Risk factors for epilepsy later in life include complex febrile seizure, family history of epilepsy or neurologic abnormality, and developmental delay.
  • #95 Febrile seizures
    https://www.rch.org.au/kidsinfo/fact_sheets/Febrile_seizures/
    Usually, a febrile seizure happens if your child’s temperature goes up suddenly. Sometimes, a seizure occurs before parents actually realise their child has a fever. […] Febrile seizures are not harmful to your child, and will not cause brain damage. […] About one in three children will have more febrile seizures with future febrile illnesses. Your child will outgrow the tendency to have febrile seizures by the time they are about 6 years old. […] No. No matter how dramatic and frightening febrile seizures may look, they do not cause brain damage. Even very long seizures lasting an hour or more almost never cause any harm.
  • #96 Febrile Seizures – Pediatrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/pediatrics/neurologic-disorders-in-children/febrile-seizures
    Febrile status epilepticus is continuous or intermittent seizures that last 30 minutes. When status epilepticus manifests as intermittent seizures, the seizures occur without neurologic recovery between seizures. Children with febrile status epilepticus are at risk of brain damage, particularly acute hippocampal injury that can progress to sclerosis, potentially resulting in the development of temporal lobe epilepsy. […] Overall recurrence rate of febrile seizures is approximately 20 to 35%. Risk of recurrence is higher if children are 1 year of age when the initial seizure occurs, with an increasing number of episodes of febrile seizures, or if children have first-degree relatives who have had febrile seizures. […] Risk of developing an afebrile seizure disorder after having 1 simple febrile seizure is approximately 2 to 6% slightly higher than the baseline risk of developing epilepsy (approximately 2% in children overall). Most of the increased risk occurs in children who have additional risk factors (eg, complex febrile seizures, family history of seizures, developmental delay); in these children, risk is up to 10%.
  • #97 Febrile Seizures | National Institute of Neurological Disorders and Stroke
    https://www.ninds.nih.gov/health-information/disorders/febrile-seizures
    Most febrile seizures are over within a couple minutes. Parents and caregivers should stay calm and carefully watch the child. During a febrile seizure, they should: Note the start time of the seizure. If it lasts longer than five minutes, call an ambulance. […] Drugs that lower fevers such as acetaminophen or ibuprofen may make the child more comfortable. However, numerous studies have shown that treating a fever does not lower the risk of febrile seizure. […] Results from an NINDS-funded study have suggested that children with prolonged febrile seizures are at increased risk of developing epilepsy and that prolonged febrile seizures may injure the brain. MRI may help identify the children at highest risk for developing epilepsy. […] Some children with prolonged febrile seizures that last longer than 30 minutes, called febrile status epilepticus (fSE), are at risk of developing epilepsy.
  • #98 Febrile Seizures | National Institute of Neurological Disorders and Stroke
    https://www.ninds.nih.gov/health-information/disorders/febrile-seizures
    A febrile seizure is a seizure caused by a fever in healthy infants and young children. Any fever may cause a febrile seizure. These seizures may happen when a child has an illness such as a cold, the flu, roseola, chickenpox, COVID-19, RSV (respiratory syncytial virus), or an ear infection. Most febrile seizures occur within 24 hours of a child getting sick. Sometimes, a child may have a seizure before developing a fever. […] Symptoms of febrile seizures may include: Loss of consciousness or passing out, Uncontrollable shaking, jerking, or stiffening in the arms or legs (may be the whole body or only part of the body), Eye rolling, Loss of bodily control (such as drooling, vomiting, urinating, or having a bowel movement). […] Simple febrile seizures are the most common type. They last a few seconds up to 15 minutes, and happen only once in 24 hours.
  • #99
    https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Febrile-Seizures.aspx
    While febrile seizures may be very scary, they usually are harmless to the child. Most febrile seizures are short and do not cause brain damage, nervous system problems, paralysis, intellectual disability or death. […] Febrile seizures can happen with any condition that causes a fever, such as common colds, the flu, ear infection or roseola. […] Vaccines can cause your child to have a fever, but febrile seizures are generally rare after vaccination. […] If your child has a febrile seizure, call your child’s doctor right away. They will want to examine your child to identify the cause of their fever. It is more important to determine and treat the cause of the fever rather than the seizure. […] If your child has had a febrile seizure, do not fear the worst. These types of seizures are not dangerous to your child and do not cause long-term health problems.
  • #100 Febrile Seizures: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/801500-overview
    Viral illnesses are the predominant cause of febrile seizures. Recent literature documented the presence of human herpes simplex virus 6 (HHSV-6) as the etiologic agent in roseola in about 20% of a group of patients presenting with their first febrile seizures. Other viruses that have been commonly implicated in febrile seizures are influenza viruses, adenoviruses, and parainfluenza viruses. […] About one third of all children with a first febrile seizure experience recurrent seizures. Risk factors for recurrent febrile seizures include the following: Young age at time of first febrile seizure, relatively low fever at time of first seizure, family history of a febrile seizure in a first-degree relative, brief duration between fever onset and initial seizure, multiple initial febrile seizures during same episode. […] Children with febrile seizures have a slightly higher incidence of epilepsy compared with the general population (2% vs 1%). Risk factors for epilepsy later in life include complex febrile seizure, family history of epilepsy or neurologic abnormality, and developmental delay.
  • #101 Intro to Febrile Seizures and How to Prepare | UT Physicians
    https://www.utphysicians.com/what-is-a-febrile-seizure/
    The prime symptom for small children suffering a febrile seizure is an accompanying fever. […] A febrile seizure can present with the same signs as a general seizure. You may see jerking or shaking of a child’s whole body, their eyes may roll up, and they may have drooling or foaming from their mouth. You may notice afterward that they have bitten their tongue or urinated on themselves, said Varnado. […] The defining symptom of a febrile seizure is a fever, a temperature greater than or equal to 100.4 degrees Fahrenheit. Other symptoms include the presence of an illness like a respiratory or gastrointestinal virus or a bacterial infection such as strep throat or an ear infection. […] While most febrile seizures last less than 5 minutes, some can last up to or longer than 15 minutes.
  • #102
    https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Febrile-Seizures.aspx
    While febrile seizures may be very scary, they usually are harmless to the child. Most febrile seizures are short and do not cause brain damage, nervous system problems, paralysis, intellectual disability or death. […] Febrile seizures can happen with any condition that causes a fever, such as common colds, the flu, ear infection or roseola. […] Vaccines can cause your child to have a fever, but febrile seizures are generally rare after vaccination. […] If your child has a febrile seizure, call your child’s doctor right away. They will want to examine your child to identify the cause of their fever. It is more important to determine and treat the cause of the fever rather than the seizure. […] If your child has had a febrile seizure, do not fear the worst. These types of seizures are not dangerous to your child and do not cause long-term health problems.
  • #103 Febrile Seizures Following Childhood Vaccinations, Including Influenza Vaccination | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccine-safety/febrile.html
    The word febrile refers to having a fever. A seizure is a convulsion or uncontrolled body movements. A febrile seizure refers to a seizure/convulsion associated with a fever in a child. Febrile seizures usually last around one or two minutes and can occur with any condition that causes fever, such as a cold, influenza, or ear infection. They are most common with fevers of 102F (38.9C) or higher, but they can also happen at lower body temperatures or when a fever is going down. A person experiencing a febrile seizure may lose consciousness. […] Most febrile seizures happen in children between the ages of 6 and 59 months. Up to 5% of young children will have at least one febrile seizure. The most common age range for children to have febrile seizures is 14-18 months. […] Febrile seizures can be frightening, but nearly all children who have a febrile seizure recover quickly, are healthy afterwards, and do not have any permanent neurological damage. Febrile seizures do not make children more likely to develop epilepsy or any other seizure disorder. […] Vaccines can cause fevers, but febrile seizures are rare after vaccination. Importantly, getting sick with the flu also can cause febrile seizures. […] Flu illness can cause high fever and febrile seizures in children.
  • #104 Febrile Seizure | Conditions | UCSF Benioff Children’s Hospitals
    https://www.ucsfbenioffchildrens.org/conditions/febrile-seizure
    Febrile seizures affect approximately 2% of children in the United States, generally presenting in toddlers near age 2, but with an overall range from 3 months to 5 years. […] They can be rooted in genetics – a family history of febrile seizures is identified in about 25% of cases. […] A sudden loss of consciousness […] Becoming limp with eyes rolled up […] Rhythmic jerking movements of the arms or legs, or the whole body stiffens […] Rapid return to consciousness […] A period of drowsiness or confusion after the seizure. […] If a child has one of the following, they have an atypical febrile seizure and may be showing early signs of epilepsy. […] Prolonged seizure activity longer than 15 minutes […] Only one side of the body is involved in the seizure […] More than one seizure during the same febrile illness. […] Febrile convulsions are not considered to be a form of epilepsy. These seizures are provoked by high fever and are harmless and self-limited, although they can understandably be frightening.