Febrile seizures by aji2000

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									Febrile seizures

Sitting in front of the lobby a state hospital in Denpasar, I saw a father with his arms hurriedly
rushed to the emergency room. Curious, I ventured to ask the father what had happened to her
son, in a voice that was still gasping for breath father was told that his son hit the step.

Step or Seizures Fever is very common in young children. According IDAI, the incidence of
febrile seizures in children aged 6 months to 5 years of almost 2-5%. Seizures are frightening but
usually harmless. Parents will be panic so get her son suffered from febrile seizures.

What is a Fever Seizures?, Febrile seizures are seizures that occur when an infant or child has a
fever without infection of the central nervous system. Febrile seizures usually occur at the
beginning of fever. Children will look strange for a while, then stiff, kelojotan and rolled her
eyes. Child unresponsive for some time, breathing will be disrupted, and the skin will appear
darker than usual. After the seizure, the child will soon be back to normal. Seizures usually ends
up less than 1 minute, but although rare can occur for more than 15 minutes.


In general, Fever Seizures can be divided into two types:
- Simple febrile seizures (seizures Fever Simplified): comprehensive seizures lasting <15
minutes and not recurring within 24 hours.
- Complex febrile seizures / complex partial seizures (seizures Fever Complex): focal seizures
(involving only one body part), lasting> 15 minutes, and / or repeated in a short time (during the
fever lasts).

So what distinguishes this febrile seizures with epilepsy? Although the same symptoms and
repeated seizures, but in children who suffer from epilepsy, episodes of seizures are not
accompanied by fever.

There are several factors that influence the occurrence of recurrent febrile seizures include:
- Age <15 months during the first febrile seizure
- History of febrile seizures in the family
- Febrile seizures occur immediately after onset of illness or when the temperature was relatively
normal
- History of fever is often
- Seizures are complex first febrile seizure

If seizures occur immediately after a fever or if the body temperature is relatively low, it will
likely happen again febrile seizures. Risk of recurrence of febrile seizures is 10% without risk
factor, 25% with 1 risk factor, 50% with 2 risk factors, and can reach 100% with = 3 risk factors.

What if your child's fever caused by immunization? Although immunization can cause fever, but
rarely followed immunization febrile seizures. A study showed the risk of febrile seizures in
some type of immunization as follows:
• DTP: 6-9 per 100,000 immunizations. This risk is higher on the day of immunization, and
declined thereafter.
• MMR: 25-34 per 100,000 immunizations. The risk increased at 8-14 days after immunization.

Febrile seizures after immunization did not have a greater tendency than recurrent febrile
seizures in general. And febrile seizures after immunization most likely will not be repeated in
subsequent immunization. So febrile seizures is not a contra indication for immunization.

Actually, what happens in the body when the child has a febrile seizure? In the state of fever,
increase in temperature of 1 ° C will result in increased basal metabolism of 10% - 15% and 20%
oxygen requirement. The result is a change in the balance of brain cell membranes and within a
short time diffusion of potassium ions and sodium ions through the membrane before, resulting
in loss of electrical charge.

The liberation of electrical charge that is big enough to extend to the entire cell / cell membrane
nearby with the help of neurotransmitters, resulting in seizures. Seizures were mostly coincided
with a high body temperature rise and rapid caused by infection outside the central nervous
system, such as tonsillitis (inflammation of the tonsils), ear infections, and other respiratory tract
infections.

Seizures usually stop myself. Once the seizure stops, the child does not give any reaction for a
moment, but a few seconds / minutes later the child will wake up and regain consciousness
without neurological disorders. Febrile seizures are of short duration are generally not dangerous
and does not cause residual symptoms. However, prolonged seizures (> 15 minutes) is very
dangerous and can cause permanent damage of the brain.

Viewing events in the body's exposure to the above, I pull the red thread symptoms you can see
when the child has seizures Fever, among others: the child has a fever (especially a high fever or
rise in body temperature that occurs suddenly), tonic-clonic seizures or grand mal , fainting
which lasted for 30 seconds-5 minutes (almost always occurs in children who experience febrile
seizures).

								
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