Veja grátis o arquivo Convulsão febril enviado para a disciplina de Neuro Infantil Categoria: Anotações – Veja grátis o arquivo Convulsão febril enviado para a disciplina de Neuro Infantil Categoria: Anotações – 4 – GUERREIRO, Marilisa M. et al. Profilaxia intermitente na convulsão febril com diazepam via oral. Arq. Neuro-Psiquiatr. [online]. , vol, n.2, pp

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Prompt attention to diagnose the cause of the fever is es- sential.

Enviado por Gabriella flag Denunciar. Register with an access code If you have been provided an access code, you can register it here: Neurodiagnostic evaluation of the child with a simple febrile seizure.

If your hospital, university, trust or other institution provides access to Best Convulxao, log in via the appropriate link below:. Most fevers and infections that cause febrile seizures are relatively benign and do not require extensive testing or procedures.

Other pathophysiologic triggering factors, such as rate of rise of febrol, peak body temperature during the illness, vac- cinations mainly diphtheria-pertussis- tetanus and measles-mumps-rubellalow birth weight and in utero growth retardation, respiratory alkalosis, and systemic release of proinflammatory cy- tokines cnvulsao been reported.

A subscription is required to access all the content in Best Practice. Convulaso, one should keep in mind that a subset of children with prolonged febrile seizures or febrile status epilepticus could develop long- term neurologic consequences. Earlier onset of effective treatment results in shorter total seizure duration. A few studies have reported ben- efit covulsao intermittent benzodiazepines during fever for preventing febrile sei- zures and reducing emergency depart- ment visits and hospital admissions.

The majority of children with febrile seizures have nor- mal growth and development. If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here: It is im- portant convulsaoo recognize this condition and offer a customized evidence-based plan of care to each family.

Unauthorized reproduction of this article is prohibited. Using rectal diazepam at home is an attractive option in the hands of savvy caregivers but may provide a false sense of security. These trig- gers remain a matter of much debate and are not helpful in directing clinical management. Dravet syndrome is the most severe form of voltage-gated sodium channelYrelated epileptic encephalopathy, with febrile seizures, febrile status epilepticus, the development of intractable generalized epilepsy, and severe cognitive impair- ment.


Vast intrafamilial and interfamilial variation exists in the clinical course of genetic epilepsies, and genotype- phenotype characterization is complex and poorly understood.

A vonvulsao concluded that once established, febrile status epilepticus rarely stops sponta- neously, and it is fairly resistant to anti- epileptic medications.

Most important treatment efforts are directed at caregiver education and, convusao appropriate, on effective use of abortive seizure treatment at home.

Febrile seizures are one of the most common age-related epileptic convulsions that lead to outpatient consultations, emergency department visits, and hospital or intensive care admissions. Acute abortive treatment of febrile seizures using a commercially available rectal delivery kit has gained widespread use by nonmedical caregivers as a first-line treatment at home. It is important to keep in mind that the majority of children with febrile seizures do not have a family history of them, and ge- netic testing is not routinely warranted.

Mutations in voltage-gated ion channels and neurotransmitter receptor genes have been shown to result in familial occurrence of febrile seizures and epilepsy. Your feedback has been submitted successfully. Care- givers should be educated in the timing and technique of administering the med- ication as well as close monitoring after its febgil. Dev Med Child Neurol ;39 6: In this study, even the subjects who received medication prior to emergency department arrival seized convlusao a median of 81 minutes.

Choose one of the access methods below or take a look at our subscribe or free febriil options. Most febrile seizures are self-limiting episodes with low risk of injury, death, and long-term neurologic consequences. Epilepsia ; 34 4: Genetics seem to play a major role in febrile seizures. When such cebril factors exist alone or in combina- tion, it may be prudent to develop an acute seizure intervention at home, fol- lowed by initiating an emergency med- ical services call for early and effective treatment of potential febrile status epi- lepticus.


Caregivers should be cau- tioned that convulao the convulsion continues after rectal diazepam total duration longer than 5 minutes or sensorium does not recover, emergency medical services should be immediately con- tacted for treatment of potential fe- brile status epilepticus. In a case- control study that compared children with a first febrile seizure, febrile status epilepticus was associated with younger age, lower body temperature, longer dura- tion of unrecognized fever before febrile seizure, female sex, documented struc- tural temporal lobe abnormalities on a previous brain MRI, and a first-degree relative with febrile seizures.

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We will respond to all feedback. The Consequences of Prolonged Febrile Seizures in Convulsaoo FEBSTAT study, an ongoing multicenter prospective longitudinal study, is providing valuable insights into the subset of patients who develop febrile status epilepticus, the most life-threatening type of febrile seizures with potential long-term consequences.

Therefore, it may be prudent to suggest administra- fdbril of rectal diazepam at the onset of KEY POINTS h The risk of developmental, behavioral, and academic disability in children with febrile seizures is no greater than in the general population.

Please enter a valid username and password and try again. Long-term management requires thorough assessment and risk stratification to devise a customized plan for each child, paying attention to febrio caregiver situation at home and day care.

BMJ Best Practice

Enviado por Gabriella flag Denunciar. Continuum Minneap Minn ;22 1: Unauthorized reproduction of this article is prohibited. If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here:. Long-term treatmentwith daily anticonvulsants may be justifiable only in a small subset of children with complex febrile seizures and febrile status epilepticus with multiple risk factors that portend a high risk of epilepsy.