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Are febrile convulsions dangerous? 

Dr Ofosuaa Okaikoi

Comment: “Are you not scared of febrile seizures?” 

Answer:

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“Febrile seizures cannot be prevented by giving the child lukewarm baths, applying cool cloths to the child’s head or body, or using fever-reducing medications such as acetaminophen or ibuprofen. Doing these things may make a feverish child feel better, but they DO NOT prevent febrile seizures.”

My translation: if a child is susceptible to febrile seizures, giving intravenous paracetamol will NOT prevent it. 

https://www.epilepsy.com/learn/types-seizures/febrile-seizures

“Antipyretic agents do not reduce recurrence of simple febrile seizures”

https://www.aafp.org/afp/2019/0401/p445.html

.”Treatment of fever does not change the risk of febrile convulsions in susceptible children.”

Febrile seizures tend to run in families. The risk of having seizures with other episodes of fever depends on the age of your child. Children younger than 1 year of age at the time of their first seizure have about a 50% chance of having another febrile seizure. Children older than 1 year of age at the time of their first seizure have only a 30% chance of having a second febrile seizure.”

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063696/#!po=0.515464

ARE FEBRILE SEIZURES DANGEROUS?

“While febrile seizures may be very scary, they are harmless to the child. Febrile seizures do not cause brain damage, nervous system problems, paralysis, intellectual disability (formerly called mental retardation), or death.”

https://pediatrust.com/Febrile-Seizures

The majority of children have their febrile seizures on the first day of illness and, in some cases, it is the first manifestation that the child is ill.

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