Clinical review of febrile seizure and updates

2021 ◽  
Vol 36 ◽  
pp. 3-12
Author(s):  
Mohammad Monir Hossain ◽  
Narayan Chandra Saha

Febrile seizure (FS) is one of the most common seizures seen in infant and pre-school age. There are two types of FSs, simple and complex. Simple FS are commonly benign, but complex FS have long-term effects. Most children with FS have normal growth and development after the attack; however, recent evidences suggest that a small group of children presenting fever with seizure may subsequently develop epilepsy or recurrent seizures. Diagnosis is mainly based on clinical presentation, electroencephalogram, lumbar puncture, and neuroimaging, which can be applied based on clinical scenario, but not routinely. Treatment is principally acute management of seizure along with address of underlying etiology and intermediate prophylaxis for preventing further attack. Pediatrician should be familiar with the proper diagnosis and management of this condition. This review will highlight an update on the current diagnostic and management issues of FS.

PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 847-853
Author(s):  
I. Antonowicz ◽  
J. D. Lloyd-Still ◽  
K. T. Khaw ◽  
H. Shwachman

Observations over a period of 6 years are reported on 10 children in whom the diagnosis of congenital sucrase isomaltase deficiency (SID) was confirmed by quantitative estimation of disaccharidase activity of the small intestinal mucosa. Repeat biopsies were performed on eight of the ten patients and showed no evidence that sucrase isomaltase activity is acquired. Sucrose tolerance tests (2 gm/kg) showed no significant rise in blood glucose in the seven patients in whom they were performed. This condition may appear in young infants with severe diarrhea resulting in a malabsorption syndrome and failure to thrive. It may also be manifest in a milder clinical presentation with bothersome diarrhea in spite of normal growth and development in the older infant or young child. The diagnosis in this latter group can be difficult, and is frequently missed.


2021 ◽  
pp. 1942602X2110594
Author(s):  
Megan Roesler ◽  
Patricia Fato ◽  
Barbara Obst

School-age children are not immune to COVID-19 or the pronounced and persistent symptoms associated with a long-COVID diagnosis. Students may present with a variety of symptoms affecting their physical, cognitive, and mental health. The school community should be educated on the school-based interventions and recommendations for creating an individualized safe and successful return to school plan. As we await approval for vaccinations in school-age children younger than 12 years and continue to reposition ourselves to the waves of this pandemic and new variants of the virus, understanding the medical and educational long-term effects on our students may be a long-term need.


PEDIATRICS ◽  
1977 ◽  
Vol 60 (5) ◽  
pp. 772-772
Author(s):  
Henry G. Dunn ◽  
Annetta K. McBurney

The authoritative statement on the "Effects of Cigarette-Smoking on the Fetus and Child" (Pediatrics 57:411, March 1976) is an excellent summary but necessarily brief. With respect to the later growth and development of the children, the statement quotes only one study, which demonstrated no long-term effects of maternal smoking on physical growth and intellectual development through the first seven years of life. We believe that such effects may indeed be demonstrable though slight. In the quoted study, Hardy and Mellits1 established 88 pairs of children of matched smoking and nonsmoking mothers.


2008 ◽  
Vol 99 (5) ◽  
pp. 1133-1139 ◽  
Author(s):  
Annie G. Parsons ◽  
Shao J. Zhou ◽  
Nicola J. Spurrier ◽  
Maria Makrides

Although routine Fe supplementation in pregnancy is a common practice, its clinical benefits or risks are uncertain. Children born to mothers in the Fe group in a trial of Fe supplementation in pregnancy have been found to have a significantly higher risk of abnormal behaviour at 4 years of age than those born to mothers in the placebo group. The objective of the present study therefore was to determine whether Fe supplementation in pregnancy influences child behaviour at early school age. The study was a follow-up of children at 6–8 years of age after women (n 430) were randomly allocated to receive a daily Fe supplement (20 mg) or placebo from 20 weeks gestation until delivery. The supplement reduced the incidence of Fe-deficiency anaemia at delivery from 9 % to 1 %. Child behaviour and temperament were assessed using the Strengths and Difficulties Questionnaire and the Short Temperament Scale for Children. Of the children, 264 (61 %) participated in the follow-up. Mean behaviour and temperament scores and the proportion of parent-rated and teacher-rated abnormal total difficulties scores did not differ between the Fe and placebo groups. However, the incidence of children with an abnormal teacher-rated peer problems subscale score was higher in the Fe group (eleven of 112 subjects; 8 %) than in the placebo group (three of 113 subjects; 2 %); the relative risk was 3·70 (95 % CI 1·06, 12·91; P = 0·026). We conclude that prenatal Fe supplementation had no consistent effect on child behaviour at early school age in this study population. Further investigation regarding the long-term effects of this common practice is warranted.


2012 ◽  
Vol 31 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Robertino M. Mera ◽  
Luis E. Bravo ◽  
Karen J. Goodman ◽  
Maria C. Yepez ◽  
Pelayo Correa

2016 ◽  
Vol 16 (4) ◽  
pp. 380-397 ◽  
Author(s):  
Angelika A. Schlarb ◽  
Isabel Bihlmaier ◽  
Kerstin Velten-Schurian ◽  
Christian F. Poets ◽  
Martin Hautzinger

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