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The document provides clinical practice guidelines for treating a first simple febrile seizure in children ages 3 months to 6 years. It recommends that lumbar puncture should be performed for children under 18 months with a febrile seizure to rule out meningitis, but is not routinely needed for older children unless signs of meningitis are present. Neuroimaging and EEG are also not recommended routinely. Antipyretics are for fever reduction but not seizure prevention. Continuous or intermittent use of antiepileptic drugs is not recommended after an initial febrile seizure due to potential adverse effects and low risk of recurrence in this generally benign disorder.
The document provides clinical practice guidelines for treating a first simple febrile seizure in children ages 3 months to 6 years. It recommends that lumbar puncture should be performed for children under 18 months with a febrile seizure to rule out meningitis, but is not routinely needed for older children unless signs of meningitis are present. Neuroimaging and EEG are also not recommended routinely. Antipyretics are for fever reduction but not seizure prevention. Continuous or intermittent use of antiepileptic drugs is not recommended after an initial febrile seizure due to potential adverse effects and low risk of recurrence in this generally benign disorder.
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The document provides clinical practice guidelines for treating a first simple febrile seizure in children ages 3 months to 6 years. It recommends that lumbar puncture should be performed for children under 18 months with a febrile seizure to rule out meningitis, but is not routinely needed for older children unless signs of meningitis are present. Neuroimaging and EEG are also not recommended routinely. Antipyretics are for fever reduction but not seizure prevention. Continuous or intermittent use of antiepileptic drugs is not recommended after an initial febrile seizure due to potential adverse effects and low risk of recurrence in this generally benign disorder.
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als DOCX, PDF, TXT herunterladen oder online auf Scribd lesen
Clinical Practice Guideline On First Simple Febrile Seizure
Simple Febrile Seizure
Seizure occurring in healthy children ages 3 months to 6 years, with axillary temperature of 37.8 Celcius or greater, characterized as generalized tonic-clonic seizures, lasting for less than 15 minutes and which does not recur within the same febrile illness. The neurologic examination is normal and there is no underlying CNS infection or abnormality.
A. Neurodiagnostic Procedures I. Lumbar Puncture (LP)
Lumbar puncture should be performed in all children below 18 months for a first simple febrile seizure. For those children 18 monthe of age, lumbar puncture should be performed in the presence of clinical signs of meningitis (e.g. presence of meningeal signs, sensorial changes).
II.
Neuroimaging ( Cranial Ultrasound, CT Scan, MRI )
Neuroimaging studies should not be routinely performed in children for a first simple febrile seizure.
B. Therapeutic Intervention I. Antipyretic Use
Antipyretic drugs are used to lower fever and should not be relied upon to prevent the recurrence of febrile seizures.
II.
Antiepileptic Drug Use continuous anticonvulsant (Phenobarbital or valproic acid)
The use of continuous anticonvulsant is not recommended in children after a first simple febrile seizure. Although anticonvulsants can reduce the recurrence of febrile seizures, the adverse effects of these do not warrant their use in thus benign disorder.
III.
Antiepileptic Drug Use intermittent anticonvulsant (Phenobarbital or Diazepam)
The use of intermittent anticonvulsant (whether Phenobarbital or Diazepam) is not recommended for the prevention of recurrent febrile seizures.
C. Prognostic Evaluation I. Electroencephalogram (EEG)
Electroencephalogram should not be routinely requested in children with a first simple febrile seizure.
Reference: Philippine Pediatric Society
Western Visayas Medical Center Department of Pediatrics
UFSM-ISBS JOINT WORKSHOP OF NEUROPSYCHOPHARMACOLOGY, TOXICOLOGICAL BIOCHEMISTRY, AND BEHAVIORAL BIOLOGY, Anfiteatro do Colégio Politécnico Universidade Federal de Santa Maria December 12-13, 2016 Santa Maria, RS, Brazil - Workshop Final Program and Abstracts