Anda di halaman 1dari 1

Febrile Seizures

Seizures in the setting of fever may be caused by infections


of the nervous system (meningitis, encephalitis, brain
abscess), unrecognized epilepsy triggered by fever, or febrile
seizures. The latter represents the most common cause of
seizures among children between 6 months and 6 years of
age, occurring in about 4% of all children. By definition, a
febrile seizure occurs in the presence of fever. Simple febrile
seizures are generalized at onset, last less than 15 minutes,
and occur only once in a 24-hour period in a neurologically
and developmentally normal child. If there are focal features,
the seizure lasts longer than 15 minutes or recurs within 24
hours, or if the child has preexisting neurologic challenges,
the seizure is referred to as a complex or atypical febrile
seizure.

Kejang dalam pengaturan demam mungkin disebabkan oleh infeksi


dari sistem saraf (meningitis, ensefalitis, otak
abses), epilepsi yang tidak dikenal yang dipicu oleh demam, atau demam
kejang. Yang terakhir merupakan penyebab paling umum dari
kejang di antara anak-anak antara 6 bulan dan 6 tahun
usia, terjadi pada sekitar 4% dari semua anak. Menurut definisi, a
kejang demam terjadi dengan adanya demam. Demam sederhana
kejang disamaratakan saat onset, bertahan kurang dari 15 menit,
dan hanya terjadi sekali dalam 24 jam secara neurologis
dan anak perkembangan normal. Jika ada fitur fokus,
kejang berlangsung lebih dari 15 menit atau berulang dalam 24 jam
jam, atau jika anak memiliki tantangan neurologis yang sudah ada sebelumnya,
kejang disebut sebagai febril yang kompleks atau atipikal
kejang.

The prognosis of children with simple febrile convulsions


is excellent. Intellectual achievements are normal. Febrile seizures
recur in 30% to 50% of children. The risk of subsequent
epilepsy is not substantially greater than that for the general
population (approximately 2%). Factors that increase the risk
for the development of epilepsy include abnormal neurologic
examination or development, family history of epilepsy, and
complex febrile seizures. Because febrile seizures are brief
and the outcome is benign, most children require no treatment.
Rectal diazepam can be administered during a seizure
to abort a prolonged event and is a reasonable option for
children with a history of prolonged febrile seizures. Because
of the potential for side effects, daily administration of anticonvulsant
medication is not recommended. Administration
of antipyretics during febrile illnesses does not prevent
febrile seizures.