Epilepsy – Seizures, Convulsion (fits)
Epilepsy is a brain disorder that causes recurrent episodes called seizures, as an electrical storm in the brain leading to abnormal movements.
Short lasting fits or seizure occurring usually in infants or children with fever are termed as febrile convulsions.
The fever is often from an infection.
Such seizures occur in young, healthy children who have normal development and haven’t had any neurological symptoms before.
It is frightening if a child has a febrile seizure.
Fortunately, febrile seizures are usually harmless, and typically don’t indicate a serious health problem.
A fit without fever is not considered as febrile convulsions!
COMMON SYMPTOMS
- Have a fever generally higher than 101 F with rapid change from low to high temperature.
- The fits occur usually within hours of onset of fever.
- Sustained contraction then relaxation of muscles, lasting for few seconds to minutes, less than 15 minutes.
- The child with seizure shakes all over and loses consciousness – or may get very stiff or twitch in just one area of the body.
- Shake or jerk the arms and legs
- The seizure may be repetitive.
- Males are slightly more affected than female.
- Vomiting
- Breathing problems
- Extreme sleepiness afterwards.
POSSIBLE CAUSES
- Bacterial or viral infections (particularly roseola) in respiratory system, influenza, gastroenteritis, measles, ears, mumps, acute tonsillitis.
- Family history of such seizures.
- Post-vaccination seizures in children – including diphtheria, tetanus and pertussis vaccine and the measles-mumps-rubella vaccine. The fever, not the vaccine, causes the seizure!
NOTE
- Febrile convulsions do not cause development delay, retardation, behavioural abnormalities or death.
- Very rarely does it continue throughout life as epilepsy or most child never get it after the age of 5 years.
- Occasionally it may recur when there is fever so it is very important that you should control the fever first whenever it comes.
Suggested First aid approach
- Don’t restrain or move the patient.
- Do not try to stop the convulsion by pulling the limbs. Wait for it to cease on its own.
- If you can then put a pad of cloth between the teeth to prevent tongue bite.
- Lower temperature by tepid water sponging.
- Dip a soft towel in water and wipe the child from head to toe several times each time dipping the towel a fresh.
- Control for fever ask your doctor for medication to lower the temperature whenever your child gets fever.
- Protect them from hurting themselves.
- Clear away any potentially dangerous objects, like hot drinks or sharp objects.
- Note the time when the seizure started and how long it lasts.
- Protect their head by placing something soft underneath.
- Loosen any clothing around their neck.
- Open their airway and check breathing, if they fall into sleep.
- Provide them fresh air by opening a door or window (Don’t cool them down too much!)
- If they’re breathing, put them in the recovery position.
- If they stop breathing at any point, seizure last more than 5 minutes, and unresponsive for more than 10 minutes, Call for emergency help.
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