ABSTRACT

This chapter outlines a case scenario on febrile seizures (FS) followed by a highly detailed explanation of the condition and its management, presenting the symptoms in a way that are likely to be encountered in general practice. FSs are a commonly encountered paediatric problem occurring in 2%–5% of all children. There are slight variations in how a FS may be defined; it is commonly described as a seizure associated with fever in the absence of underlying intracranial infection or any other recognised cause of seizure activity such as trauma, epilepsy or electrolyte imbalance. FSs are more common in children between the ages of 6 months and 3 years, with a peak incidence at the age of 18 months. FSs may be classified as simple and complex. The first step in the management is to confirm the diagnosis. Long-term management is centred on parent reassurance and explanation of the condition.