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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 2008-2150
Vol. 20, No. 1, 2010, pp. 5-15
Bioline Code: pe10001
Full paper language: English
Document type: Research Article
Document available free of charge

Iranian Journal of Pediatrics, Vol. 20, No. 1, 2010, pp. 5-15

 en Febrile Seizures: Four Steps Algorithmic Clinical Approach
Mohammadi, Mahmoud

Abstract

Febrile seizures (FS) are the most common form of convulsive phenomena in human being and affect 2% to 14% of children. It is the most common type of seizures that every pediatrician is dealing with. It is the most benign type of all seizures occurring in childhood. There are many debates on how to approach to febrile seizures in pediatric neurology and there are many possible malpractices in this field. Some of the most common frequent queries are:

How could we differentiate FS from seizures and fever associated with serious infections involving the central nervous system? When should we refer the affected child for further investigations such as lumbar puncture, EEG, neuroimaging, and routine biochemical studies? How should we treat FS in its acute phase? How could we assess the risk for further recurrences as well as other risks threatening the child's health in future? How could we select the patients for treatment or prophylaxis? Which medication(s) should be selected for treatment or prophylaxis?

Trying to answer the above-mentioned questions, this review article will present a four steps algorithmic clinical approach model to a child with febrile seizures based on the current medical literature.

Keywords
Febrile seizures; Febrile convulsions; Clinical Protocol; Algorithms

 
© © 2010 by Center of Excellence for Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, All rights reserved.
Alternative site location: http://diglib.tums.ac.ir/pub/

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