Are febrile seizures a risk factor for the development of epilepsy

Are febrile seizures a risk factor for the development of epilepsy

A single, isolated febrile seizure of short duration probably does not greatly influence the later development of epilepsy.

The overall risk of developing epilepsy in the general population is approximately 1%, and in those with febrile seizures, the risk increases to approximately 3%.

In general, if there are no other reasons to suspect recurrent seizures, such children are not treated.

The following features, however, have been identified as risk factors for the development of epilepsy:

  • 1. Underlying neurologic or developmental abnormality
  • 2. Family history of nonfebrile seizures
  • 3. Prolonged febrile convulsions
  • 4. Multiple febrile convulsions
  • 5. Atypical or focal features (complex febrile seizures)
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