Managing Febrile Convulsion in Children

  • A febrile seizure or febrile convulsion, is a seizure associated with fever which occur in children between the ages of 6 months and 5 years. The seizure may be over the whole body or may be only on a single limb and the child loses awareness during the episode. Most seizures occurs within 24 hours of the fever, are less than five minutes in duration, and the child is completely back to normal within sixty minutes of the event.
  • Febrile convulsion seldom result in any short or long term neurological problems or epilepsy. Parents or caretakers should not panic during an episode. Place the child in a safe place (bed or on flat ground) and rotate the child onto his/her side. Clear out his/her mouth if there is vomiting. Do NOT put anything in the child’s mouth. Give rectal suppository fever medications.
  • Seek immediate medical if there is the following conditions:
    1. Seizure continues for more than 5 minutes
    2. Patient remains unarousable for a long time after seizure subsides
    3. Persistent vomiting
    4. Complaints of severe headache
    5. Neck stiffness
    6. Fever unresponsive to medications
    7. Weakness or numbness of a limb after seizure episode

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