Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • febrile illness
  • seizure

Other diagnostic factors

  • normal postictal exam

Risk factors

  • temperature elevation
  • young age
  • male gender
  • family history of febrile seizures
  • viral or bacterial infection
  • vaccinations
  • prenatal exposure to nicotine
  • iron deficiency
  • complications of pregnancy, labor, and delivery

Diagnostic investigations

Investigations to consider

  • LP
  • viral studies
  • blood culture
  • EEG
  • brain MRI
  • serum sodium
  • CBC
  • serum glucose
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

John J. Millichap

Assistant Professor

Departments of Pediatrics & Neurology

Feinberg School of Medicine

Northwestern University

Pediatric Epileptologist

Epilepsy Center

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago

IL

Disclosures

JJM serves as an Associate Editor of Neurology and serves on the editorial board of Pediatric Neurology Briefs; volunteers on the medical advisory board of The Jack Pribaz Foundation (KCNQ2.org); received speaker honoraria from Invitae; received royalties for online monographs from Up-To-Date; served on the scientific advisory board for Mallinckrodt; is principal investigator for a clinical trial funded by UCB Pharma; and is the principal investigator for research grants from Citizens United for Research in Epilepsy (CURE) and Thrasher Research Fund. JJM is an author of a number of references cited in this monograph.

J. Gordon Millichap

Professor Emeritus

Pediatrics & Neurology

Feinberg School of Medicine

Northwestern University

Pediatric Neurologist

Division of Neurology

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago

IL

Disclosures

JGM is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Professor

Department of Neurology

University of Virginia Health System

Charlottesville

VA

Disclosures

RSR declares that he has no competing interests.

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