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What Causes Epilepsy Attack After Rise In Body Temperature?

My son (3 yrs) started showing symptoms of epylepsy with a rise in body temperature. He had symptoms of cold last week but was found fit just before showing the symptoms. the same was happened one & half year back and doctor said nothing wrong with him. what would be the reason doctor? I am preasently staying in UAE
posted on Thu, 13 Mar 2014
Twitter Sun, 9 Jun 2019 Answered on
Twitter Mon, 10 Jun 2019 Last reviewed on
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Pediatrician, Pulmonology 's  Response
Hi,

Febrile seizures are seizures which occur during high fever in some kids. They usually occur from 6 months to 6 years of age and usually are self-limiting after 6 years of age.

They usually do not leave any focal neurological deficits also. Rather than the height of the temperature, the rapidity of rise of temperature is more important.

In general, antiepileptic therapy, continuous or intermittent, is not recommended for children with 1 or more simple febrile seizures.

Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support.

If the seizure lasts for longer than 5 min, buccal or intranasal midazolam (Available as Midacip Nasal spray) may be used and is often preferred by parents.

If the parents are very anxious concerning their child’s seizures, intermittent oral diazepam (0.33 mg/kg every 8 hr during fever) or intermittent rectal diazepam (0.5 mg/kg administered as a rectal suppository every 8 hr), can be given during febrile illnesses. Such therapies help reduce, but do not eliminate, the risks of recurrence of febrile seizures.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sumanth Amperayani, Pediatrician, Pulmonology
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What Causes Epilepsy Attack After Rise In Body Temperature?

Hi, Febrile seizures are seizures which occur during high fever in some kids. They usually occur from 6 months to 6 years of age and usually are self-limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature, the rapidity of rise of temperature is more important. In general, antiepileptic therapy, continuous or intermittent, is not recommended for children with 1 or more simple febrile seizures. Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support. If the seizure lasts for longer than 5 min, buccal or intranasal midazolam (Available as Midacip Nasal spray) may be used and is often preferred by parents. If the parents are very anxious concerning their child’s seizures, intermittent oral diazepam (0.33 mg/kg every 8 hr during fever) or intermittent rectal diazepam (0.5 mg/kg administered as a rectal suppository every 8 hr), can be given during febrile illnesses. Such therapies help reduce, but do not eliminate, the risks of recurrence of febrile seizures. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology