Primary Care Perspectives

Primary Care Perspectives: Episode 69 - Recognizing and Treating Febrile Seizures

Dec 18, 2019

Sara Fridinger, MD, a pediatric neurologist from the Children's Hospital of Philadelphia, discusses the nature of febrile seizures in young children. She highlights that while common between 18 and 24 months, they can be alarming for parents. Sara differentiates between simple and complex seizures, offering practical advice on managing them and knowing when to seek help. She also clarifies that febrile seizures are not linked to long-term epilepsy or developmental issues, reassuring families about safety and care protocols.

15:15

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Sara Fridinger, MD

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Quick takeaways

Febrile seizures are most common in children aged 18 to 24 months and typically occur with fevers above 38 degrees Celsius.

Differentiating between simple and complex febrile seizures is crucial for determining the appropriate care and follow-up needed after an event.

Deep dives

Understanding Febrile Seizures

Febrile seizures typically occur in children aged six months to five years and are associated with fevers exceeding 38 degrees Celsius. These seizures can manifest in different forms, generally as generalized seizures that involve the entire body. Post-ictal states often follow febrile seizures, characterized by a period of confusion or sleepiness, which varies in duration depending on the seizure's length and any medications administered. Being familiar with a child's normal behavior can help parents differentiate between post-ictal drowsiness and typical sleepiness, especially after a seizure that occurs during night-time.

Intro

2min

Understanding Febrile Seizures

4min

Understanding Febrile Seizures and Epilepsy in Children

2min

Managing Febrile Seizures in Children

4min

Understanding Febrile Seizures: Prevention, Impact, and Referral Guidelines

4min

While any child can experience a febrile seizure, they are most common between the ages of 18 and 24 months. Sara Fridinger, MD, an attending pediatric neurologist at Children’s Hospital of Philadelphia, talks about causes, signs and symptoms of febrile seizures, as well as how to differentiate between simple and complex febrile seizures and when to take action. Published December 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

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