Febrile Seizures In Children Aged 5 Years?

Illustration of Febrile Seizures In Children Aged 5 Years?
Illustration: Febrile Seizures In Children Aged 5 Years? researchgate.net

, my child sometimes has a seizure during a fever. First time at the age of nine months. Now he is 5 years and 4 months old. Since the first seizure until now, it has been around 7 times to experience febrile seizures. Provisional suspicion of epilepsy. And prescribed valproic acid 2x a day. My question is, what is the underlying cause of febrile seizures suspected of epilepsy? Given the many side effects of valproic acid, shouldn’t it be tested first for epilepsy or not before prescribing? From my family there are no epilepsy offspring.

1 Answer:

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Febrile seizures are seizures that occur because the patient's body temperature rises suddenly, causing seizures. Febrile seizures often occur in children before the age of 5 years (some data shows up to the age of 3 years), so that after 5 years, along with better brain function, the incidence of febrile seizures is usually not felt. The presence of urinary tract infections, respiratory infections, or gastrointestinal diseases can cause fever and ultimately trigger complaints of febrile seizures.
While epilepsy, where there is interference and pounding of electric current in the central nerve with abnormal brain waves or epileptic waves. This condition can be caused by trauma during labor, head trauma, infection during pregnancy, or due to brain tumor disease.
To find out the seizure experienced by the patient is an epilepsy or not, then a pediatrician or neurologist can conduct an interview, physical examination and be supported by additional examinations such as EEG examination.
Regarding your question, in general, even though there is no family history of epilepsy, and if your doctor provides the results of your child's examination of a case of epilepsy, then all this should be discussed directly with the doctor who treats you. Because your doctor knows more about your child's illness journey, your child's clinical condition and the history of treatment that has been given, the doctor who treats your child understands it better,
Some data indicate a relationship of febrile seizures with epilepsy if there are risk factors:
1. an unusual condition of the child's development before a febrile seizure
2. A history of complex febrile seizures that occur more than 15 minutes, more than one febrile seizure in 24 hours, or febrile seizures that occur only on one side of the body
3. there is a history of seizures without fever in the family of either relatives or parents.
So if one of these risk factors is met, then the likelihood of epilepsy in children with a history of febrile seizures, can range from 1:40 a chance.
However, all of this needs to be discussed directly with your pediatrician or neurologist who is treating your child; whether in the form of care, treatment and follow-up checks needed. In connection with the treatment that has been given, you should continue until you see the treating doctor again, because based on the indications and the dosage, the condition is in accordance with your doctor's plan.
Thus the info we can convey.

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