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Posted On : 08 Sep 2024

A 2-year-old boy developed a generalized seizure after a fever which lasted for 10 min after that he became normal. After 12 hours he again developed a fever and again convulsion which lasted for 10 min with loss of consciousness for 10 min. After that he again became normal. His CT and EEG are normal. Does he require regular anticonvulsant therapy? Do all the cases of atypical febrile convulsion require regular AED?

Expert Answer :

Answer Discussion :

S

sanjay mangal

0

yes treat fever

29 Days ago

M

Mutsyaba Arson

0

no need for AEDs but treat fever and rule the cause as we use appropriate anticonvulsant for a short while to prevent it from being chronic

30 Days ago

S

Shefu Mbandu

0

Treat the cause of fever. No need for anticonvulsants.

1 month ago

Z

Zainul Abedin

1

This is typical atypical febrile seizures. As compared to normal general population they have more chances of developing into epilepsy so they do require regular anticonvulsant therapy

1 month ago

D

Dfsa Ata

0

Yes he require AED,
No , not all cases of atypical febrile convulsuon need AED,
accordingly

1 month ago

Answer 1

He does not need daily antiepileptic drugs as his diagnosis is complex febrile seizure (More than 2 episodes in the same illness). Seizures longer than 10 (15 in some studies) and with focal features also are complex febrile seizures, which means a 4-7 percent chance of future epilepsy and child needs to be watched for afebrile seizures and EEG obtained but no daily meds.

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