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
|Published (Last):||17 April 2006|
|PDF File Size:||4.92 Mb|
|ePub File Size:||13.91 Mb|
|Price:||Free* [*Free Regsitration Required]|
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.
Profilaxia intermitente com diazepam via oral na convulsão febril: estudo de 82 casos
Using rectal diazepam at home is an attractive option in the hands of savvy caregivers but may provide a false sense of security. IVprevalence and recurrence in the first five years of life. Sign up for a FREE trial.
Continuum Minneap Minn ;22 1: Caregivers should be cau- tioned that if the convulsion continues after rectal diazepam total duration longer than 5 minutes or sensorium does not recover, emergency medical services should be immediately con- tacted for treatment of potential fe- brile status epilepticus. Epidemiology of febrile and afebrile convulsions in children in Japan. IIVmedical history and intellectual ability at 5 years of age.
Long-term treatmentwith daily anticonvulsants may be justifiable only in a small subset of children with complex febrile seizures and febrile status epilepticus with multiple risk factors that portend a high risk of epilepsy. Febrile seizures inasouth Indiandistrict: Brain ; pt 3: In addition, benzodiazepines can cause sedation, can interfere with hydra- tion and feeding, and may delay the recognition of a serious illness.
Genetics seem to play a major role in febrile seizures. 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. When such risk factors exist alone or in combina- tion, it may be prudent to develop an acute seizure intervention at home, fol- lowed by initiating an emergency med- ical services call for early and effective treatment of potential febrile status epi- lepticus.
The Consequences of Prolonged Febrile Seizures in Childhood FEBSTAT study, an ongoing multicenter prospective convylsao study, is providing valuable insights into the subset of patients who develop febrile status epilepticus, the most life-threatening type of febrile seizures with potential long-term consequences. Generalized epilepsy with febrile seizures plus. Acute abortive treatment of febrile seizures using a commercially available rectal delivery kit has gained widespread use by nonmedical caregivers as a first-line treatment at home.
A 2- to 3-day course of oral diazepam or clobazam was used successfully to pre- vent recurrences. Dev Med Child Neurol ;39 6: A genetic disorder with heterogeneous clinical phenotypes. Other pathophysiologic triggering factors, such as rate of rise of fever, peak body temperature during the illness, vac- cinations mainly diphtheria-pertussis- convulswo and measles-mumps-rubellalow birth weight and in utero growth retardation, respiratory alkalosis, and systemic release of proinflammatory cy- tokines have been reported.
The fever of febrile seizures is commonly due to self-limiting viral infections affecting ear, nose, and throat or respiratory or gastrointestinal systems, and the risk of CNS infection is low. Most important treatment efforts are directed at caregiver education and, when appropriate, on effective use of fwbril seizure treatment at home.
Most febrile seizures are self-limiting episodes with low risk of injury, death, and long-term neurologic consequences.
It is im- portant to recognize this condition and offer a customized evidence-based plan of care to each family. 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. 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.
Enviado por Gabriella flag Denunciar. Please enter a valid username and password and try again. A study concluded that once established, febrile status epilepticus rarely stops sponta- neously, and it is fairly resistant to anti- epileptic medications.
BMJ Best Practice
Neurodiagnostic evaluation of the child with a simple febrile seizure. 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.
Unauthorized reproduction of this article is prohibited.
No guidelines exist for initiation xonvulsao daily anticonvulsants in febrile seizures, and it remains a matter of clinical judgment. If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here: Utility of lumbar puncture for first simple febrile seizure among children 6 to 18 months of age.
Human herpesvirus 6 and 7 in febrile status epilepticus: