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Febrile Seizure

WHAT YOU SHOULD KNOW

A febrile (FEB-rile) seizure (SEE-zhur) is a type of convulsion. It causes your child's face or body to tighten up and jerk or twist. It is the most common type of seizure, and may last from 1 to 10 minutes. Children between 6 months and 2 years are more likely to have a febrile seizure. The seizures do not cause brain damage. Most children will not have another one.

Causes

A temperature of about 104 degrees F (40 degrees C) or more. The fever may be the result of an infection.

Signs/Symptoms

Jerking or twitching of the arms, legs or face. When a seizure starts, the child may pass out. He or she may not be aware of the jerking. The child may urinate or have a bowel movement without knowing it, or may throw up. After the seizure, the child may seem irritable, confused, or sleepy.

WHAT YOU SHOULD DO

  • If your child develops a fever, give a sponge bath to try to reduce the fever. The bath should be done in a warm room with warm water. Using a damp washcloth, gently rub the entire body. The child should be damp but not dripping wet. Do not use a fan or ice or cold water, and do not chill the child.
  • During a convulsion, protect the child from injury by moving dangerous objects away. Do not try to hold the child down. Do not put anything in his or her mouth.
  • When the seizure has passed, give the child acetaminophen for fever control. Do not give your child aspirin. Your doctor will tell you whether you need other medicines to prevent more seizures.
  • If the child has another febrile seizure, write down details for the doctor, including when it began, whether both sides of the body were jerking, how long the convulsion lasted, the length of time between the rise in temperature and the start of the seizure, and whether the child slept afterward.

Call Your Doctor If...

  • The child still has a fever 3 days after the febrile seizure, or has an uncontrolled fever of any duration.

Seek Care Immediately If...

  • Your child has another convulsion.
  • Your child is injured during a convulsion.
  • Your child develops vomiting, headache, or a stiff neck.



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