How Can High Fever And Epileptic Attack In An Infant Be Treated?

** Thanks for contacting with your health concern 1. as he is a diagnosed case [probably febrile convulsions] and also under the supervision of Pediatric Doctor, thus he must have given due consideration in covering all aspects of the pathology, I at most can let you know about the symptomwise approach: i. Consult a doctor specialized in Pediatric Neurology as it may require pediatric intensive care unit [PICU] services and respiratory therapists since if left untreated it can cause damage to the brain. PS. also for proper neurological examination and investigation since he has to be put on regular antiepileptic treatment. ii. From 6 months to 5 years the commonest cause of convulsions is febrile convulsions. If high fever accompanies the convulsions, then the diagnosis is certain, moreover as spinal fluid is normal thus meningitis/subarachnoid hemorrhage could be excluded. [get a second opinion] 2. In future, avoid high fever by instructing the mother to give syrup crocin and cold compress, at the onset of fever and i. if meningitis and febrile convulsions are ruled out then treat as epilepsy, and because the spinal tap is performed under local anesthesia using sterile technique thus your attending Anaesthestist and attending Doctor will be in better position to know about the outcome of repeated puncture, and remember: - do not miss the treatment even for one day. - you should avoid places where convulsions for the baby can be dangerous: swimming, driving, climbing heights, work near moving machinery, standing in train or bus doors, work near the fire. - drugs to be continued for at least 5 years after the last fit, & then slowly tapered off over 6 months. PS. If treatment is stopped suddenly, rebound may occur and the patient may even go into status epilepticus, so remember the importance of taking treatment regularly.