Definition and causes
Fever Convulsions, as the name says, seizures, arising from high fever in some children, especially if the fever has risen sharply. The operative reason is usually a gastrointestinal or respiratory tract infection (see Children's Diseases). They are usually lasting a few minutes, called generalized seizures, which involve the whole body, and under which the child loses consciousness. Anfallen advances are uncomfortable to watch but short individual
Kramp They occur usually in 1-2 years of age and almost never after 4 years of age. Fever Convulsions occur in ca. 2% of all children. The reason that the fever in precisely these children may develop convulsions, are not known in detail, but there is some hereditary link. Thus, a child is a greater risk of developing febrile convulsions than other children if their parents also had febrile convulsions. Many experience only one
Symptoms of febrile convulsions
The typical febrile seizures is a so-calledgenraliseret tonisk-klonisk attackorgrand mal:
- First, the child becomes unconscious and is facing possible. the whites out of the eyes.
- Shortly after the child becomes totally rigid with stretched legs, bent arms and bent back towards the rear head.
- This is replaced by jerky convulsions of arms and legs.
- The child may have froth on the mouth or may be soft due to tungebid and there may be exit of urine and faeces.
- The child draws breath and will not therefore appear bluish or pale skin under attack.
- After a few minutes cease attacks, and the child draws breath again and come slowly to herself.
- The child may be very tired and sløvt for a long time after an attack.
An attack products usually 1-2 minutes, and rarely more than 5 minutes, but each experience, however, so-called complex seizures with duration up to 20-30 minutes.
An attack may also be partially, unless bevisthedspåvirkning or so calledatoniskWhere the child is quite lax, but these types of attacks are not nearly as frequent as generalized. See also the article Convulsions in children. Kramp anfallen trends resemble epileptic seizures but are extremely rare signs of epilepsy.
If a child has fever and suddenly have a seizure as described above, it is first and foremost to preserve calm. Convulsions in children is alarming and traumatic to watch, but as mentioned, the child is not immediately threatened, unless they are very lengthy seizures.
- Do nothing during the attack in addition to prevent the child finds itself. If your child throws up, you should gently turn it on its side, so provoked not run into the lungs.
- Put things in your mouth not in the child to prevent tungebid as this may do more harm than good.
- Do not hold the child, but things like the distance it can get hurt on.
- Observe the child carefully so that subsequent attacks can be described to a doctor and thereby facilitate the diagnosis.
- Call 112 if the seizure is prolonged (more than 5 minutes) or if multiple seizures occur shortly after each other.
- After even a small attack should call a doctor and get the child examined. After the first once-feverish spasm should the child hospitalized.
If your child has had fever cramps and now has a fever, you should take the temperature every two hours. A body temperature over 38 degrees can cause convulsions, and it is therefore important that the temperature is kept down by stripping the child and such. use a sheet instead of the duvet. Keel possibly the child with a moistened cloth with lukewarm water. Cool drinks can also help.
Fever-reducing medication (eg. Panodil or magnyl) does not work on preventive cramps.
Treatment of febrile convulsions
The typical brief seizures do not require any treatment. Lengthy or repeated febrile convulsions treated with muscle relaxantsdiazepam. This is given as a suppository or klysma (liquid sprayed into the final intestine), which works quickly and shorten the attack.
Often, your doctor will recommend that in future stores diazepam-klysma or suppository at home (on prescription) so that you can give it to her child if it is again a feverish spasm or prevention.
Prevention of febrile convulsions
If a child has had fever before cramps, you can choose to give above klysma suppository or as a preventive treatment as soon as the child is fever more than 38 degrees. Medicines given 3 times a day for fever again fell, to prevent febrile convulsions.
Is this not enough, you can choose to deal with special anti-epileptic preparations, which is given as permanent treatment for a few years until the child has grown from its febrile convulsions. However, this is rarely necessary.
Select and complications
Half of the children who had a febrile seizure will have a new attack by subsequent febrile illness. Fever Convulsions However, as mentioned a good prognosis because seizure does not occur after 5 years of age.
The typical febrile seizures are not harmful to the child, but prolonged or repeated seizures shortly after each other can potentially be hazardous due to lack of oxygen supply to the brain for longer periods. Such a lack of oxygen can cause damage to brain tissue, but there is rarely a serious functional damage.
Children with complex (long) or numerous seizures of epilepsy should be paid. It is however very small percentage who develop genuine epilepsy with convulsions after childhood.