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Convulsão febril

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Última revisão: 16 Jan 2026
Última atualização: 19 Jul 2022

Resumo

Definição

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • doença febril
  • convulsão
Полная информация

Другие диагностические факторы

  • exame pós-ictal normal
Полная информация

Факторы риска

  • elevação da temperatura
  • idade jovem
  • sexo masculino
  • história familiar de convulsões febris
  • infecção bacteriana ou viral fora do sistema nervoso central
  • vacinações
  • exposição pré-natal à nicotina
  • deficiência de ferro
  • complicações na gestação, no trabalho de parto e no parto
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • o diagnóstico é clínico
Полная информация

Исследования, проведение которых нужно рассмотреть

  • punção lombar
  • estudos virais
  • hemocultura
  • eletroencefalograma (EEG)
  • ressonância nuclear magnética (RNM) cranioencefálica
  • sódio sérico
  • Hemograma completo
  • glicemia sanguínea capilar
  • glicose sérica
  • perfil de ferro
Полная информация

Алгоритм лечения

Начальные

estado de mal epiléptico febril

Острый

primeira convulsão febril simples

primeira convulsão complexa

ПРОДОЛЖЕНИЕ

enfermidade febril com história prévia de convulsão simples ou 1 convulsão complexa

história de 2 ou mais convulsões febris complexas com ineficácia do tratamento com diazepam

Составители

Авторы

Damian Roland, BMedSci, MBBS, FRCPCH, PhD

Honorary Associate Professor and Consultant in Paediatric Emergency Medicine

Paediatric Emergency Medicine Leicester Academic (PEMLA) Group

Children’s Emergency Department

Leicester Royal Infirmary

Leicester

UK

Раскрытие информации

DR declares that he is a previous member of the National Institute for Health and Care Excellence Feverish Illness in Children Guideline Group.

Выражение благодарностей

Dr Damian Roland would like to gratefully acknowledge Dr Leena Mewasingh, Dr Frances Morrison, Dr John J. Millichap and Dr J. Gordon Millichap, previous contributors to this topic. LM has received funding from drug companies (e.g., Eisai) to attend medical conferences and been invited to an educational symposium (Novartis, LivaNova). FM declares that she has no competing interests. 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 and the Thrasher Research Fund. JJM is an author of a number of references cited in this topic. JGM is an author of a number of references cited in this topic.

Рецензенты

Robert S. Rust, Jr., MA, MD

Professor

Department of Neurology

University of Virginia Health System

Charlottesville

VA

Раскрытие информации

RSR declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

American Academy of Pediatrics: Subcommittee on Febrile Seizures. Clinical practice guideline: neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics. 2011 Feb;127(2):389-94.Полный текст  Аннотация

American Academy of Pediatrics. Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics. 2008 Jun;121(6):1281-6.Полный текст  Аннотация

Natsume J, Hamano SI, Iyoda K, et al. New guidelines for management of febrile seizures in Japan. Brain Dev. 2017 Jan;39(1):2-9. Аннотация

Offringa M, Newton R, Nevitt SJ, et al. Prophylactic drug management for febrile seizures in children. Cochrane Database Syst Rev. 2021 Jun 16;(6):CD003031.Полный текст  Аннотация

Wilmshurst JM, Gaillard WD, Vinayan KP, et al. Summary of recommendations for the management of infantile seizures: task force report for the ILAE Commission of Pediatrics. Epilepsia. 2015 Aug;56(8):1185-97.Полный текст  Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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