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Doctors reassure parents on risks of seizures with fever

11.08.2008 16:00 Health - Source: cbc.ca

When a child is convulsing and has a fever, it may alarm parents, but they should be reassured that the risk of death is very low, doctors say.

In Saturday's issue of the journal The Lancet, Danish researchers analyzed death rates for more than 1.6 million children who were followed for up to 28 years. They concluded the overall risk of death linked to febrile seizures is extremely low.

Febrile seizures are convulsions caused by high body temperature. They affect two to five per cent of children under the age of five, Dr. Mogens Vestergaard of the Institute of Public Health at Aarhus University in Denmark and colleagues said.

Based on the study, for children followed for two years, there would be one death in 1,500 children in the general population compared with two deaths in 1,500 for those who had complex febrile seizures.

Simple seizures are those that are brief and don't recur within 24 hours. In contrast, complex seizures last more than 15 minutes or recur within a day.

"Parents should be reassured that death after febrile seizures is very rare, even in high-risk children," the study's authors concluded.

The study also adds to previous research refuting the idea of a link between febrile seizures and sudden infant death system, said Dr. Maitreyi Mazumdar, a neurologist at Children's Hospital Boston.

"The new study suggests that there is a subset of children with febrile seizures — notably those with complex features and underlying neurological abnormalities — that may warrant closer attention and followup," Mazumdar wrote in a journal commentary.

Those two factors are risk factors for epilepsy — a seizure disorder that includes repeated, unprovoked brain seizures, Mazumdar said.

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