Veja grátis o arquivo Convulsão febril enviado para a disciplina de Neuro Infantil Categoria: Anotações – Veja grátis o arquivo Convulsão febril enviado para a disciplina de Neuro Infantil Categoria: Anotações – 4 – GUERREIRO, Marilisa M. et al. Profilaxia intermitente na convulsão febril com diazepam via oral. Arq. Neuro-Psiquiatr. [online]. , vol, n.2, pp

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The risk of seizure disorders among relatives of children with febrile convulsions. These trig- gers remain a matter of much debate and are not helpful in directing clinical management. Vast intrafamilial and interfamilial variation exists in the clinical course of genetic epilepsies, and genotype- phenotype characterization is complex and poorly understood.

Delayed treatment and the de- velopment of febrile status epilepticus in a child is a risk factor for acute brain injury, the development of epilepsy, and long-term neurocognitive disability. Neurodiagnostic evaluation of the child with a simple febrile seizure. Febrile seizures are one of the most common age-related epileptic convulsions that lead to outpatient consultations, emergency department visits, and hospital or intensive care admissions.

Epilepsia ; 34 4: Sign up for a FREE trial.

If your hospital, university, trust or other institution provides access to Best Practice, log in via the appropriate link below:. In a case- control study that compared children with a first febrile seizure, febrile status epilepticus was associated with younger age, lower body temperature, longer dura- tion of unrecognized fever before febrile seizure, female sex, documented struc- tural temporal lobe abnormalities on a previous brain MRI, and a first-degree relative with febrile seizures.

A few studies have reported ben- efit from intermittent benzodiazepines during fever for preventing febrile sei- zures and reducing emergency depart- ment visits and hospital admissions.


Phe- nobarbital and valproate are touted to successfully reduce the recurrence of febrile seizures; however, they may not reduce the ultimate risk of devel- oping epilepsy.

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A genetic disorder with heterogeneous clinical phenotypes. Rectal diazepam is available in the United States as an acute abortive treat- ment of an ongoing seizure and has been successfully used in febrile convullsao.

Guidelines for epidemiologic studies on epilepsy. It is im- portant to recognize this condition and offer a customized evidence-based plan of care to each family. Therefore, it may be prudent to suggest administra- tion of rectal diazepam at the convulaao of KEY POINTS h The risk of developmental, behavioral, and academic disability in children with febrile seizures is no greater than in the general population.

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Most important treatment efforts are directed at caregiver education and, when appropriate, on effective use of abortive seizure treatment at home. Please enter a valid username and password and try again. The entered sign-in details are incorrect.

Prompt attention to diagnose the cause of the fever is es- sential. Most febrile seizures are self-limiting episodes with low risk of injury, death, and long-term neurologic consequences. Brain ; pt 3: Using rectal diazepam at home cknvulsao an attractive option in the hands of savvy caregivers but may provide a false sense of security.

If your hospital, university, trust or other institution provides access to Best Practice, log in via the appropriate link below: Earlier onset of effective treatment results in shorter total seizure duration. Enviado por Gabriella flag Denunciar. Genetics seem to play a major role in febrile seizures. IVprevalence and recurrence in the first five years of life.


For any convulzao enquiries please contact our customer services team who are ready to help with any problems. Dravet syndrome is the most severe form of voltage-gated sodium channelYrelated epileptic encephalopathy, with febrile seizures, febrile status epilepticus, the development of intractable generalized epilepsy, and severe cognitive impair- ment. In addition, benzodiazepines can cause sedation, can interfere with hydra- tion and feeding, and may delay the recognition of a serious illness.

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Care- givers should be educated in the timing and technique of administering the med- ication as well as close monitoring after its use. Other pathophysiologic triggering factors, such as rate of rise of fever, peak body temperature during the illness, vac- cinations mainly diphtheria-pertussis- tetanus and measles-mumps-rubellalow birth weight and in utero growth retardation, respiratory alkalosis, and systemic release of proinflammatory cy- tokines have been reported.

This article provides an update on the current understanding and management of febrile seizures.

Dev Med Child Neurol ;39 6: It is important to keep in mind that the majority of children with febrile seizures do not have a family history of them, and ge- netic testing is not routinely warranted.

Mutations in voltage-gated ion channels and neurotransmitter receptor genes have been shown to result in familial occurrence of febrile seizures and epilepsy. Most fevers and infections that cause febrile seizures are relatively benign and do not require extensive testing or procedures.

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