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- Febrile seizures in children under 1 year of age: do not care about immunizationShow More
Dear Editor,
reading the clinical practice guidelines for the neurodiagnostic evaluation of the child with a simple febrile seizure (1), we were quite surprised to read the Action Statement 1b which suggests to perform a lumbar puncture in any infant between 6 and 12 months of age who presents with a seizure and fever when the child is considered deficient or undetermined in Haemophilus influenzae type b (Hib)...
Competing Interests: None declared. - simple febrile seizuresShow More
The clinical practice guideline on febrile seizures refers to a first simple febrile seizure and thus implies the child has not had seizures with or without fever previously. Children with a history of afebrile seizures/epilepsy have a lowered seizure threshold and, as such, fever may trigger a seizure. Therefore even if the seizure is short, generalized and once in 24 hours, it would not be classified as a simple febril...
Competing Interests: None declared. - Febrile Seizures DefinedShow More
A 2008 AAP Clinical Practice Guideline defined febrile seizures as ".. seizures that occur in febrile children between the ages of 6 and 60 months who do not have an intracranial infection, metabolic disturbance, or history of afebrile seizures." [1] This 2011 Clinical Practice Guidleline includes CNS infection as an exclusionary criterion for the diagnosis of febrile seizure but makes no mention of a history of afebrile...
Competing Interests: None declared.