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LITERATURE REVIEW OF FEBRILE
SEIZURES
Submitted By:
Pankaj Kumar Maurya
Roll no: 1438689
DEPARTMENT OF PHARMACY PRACTICE
ISF COLLEGE OF PHARMACY, MOGA
1
Supervisor:
Dr. Mandeep kaur
Assistant Professor
Introduction
Febrile seizures(FS) are defined as a
convulsions that can happen during a fever
(febrile means “feverish”).
They affect kids 3 month to 6 year old.
Febrile most common in babies of 12-18
months old.
The seizures usually last for a few minutes
and a fever above 100.4⁰F (38°C )
Types of febrile seizures
Simple febrile seizures.
Complex febrile seizers.
2
Introduction
Simple febrile seizures are usually over in a few
minutes. But in rare cases they can last up to 15
minutes.
During this type of seizure, a child’s whole body
convulse, shake and twitch eyes may role and she or
he moan or become unconscious.
Children sometime vomit or urinate on themselves
during the convulsions.
Complex febrile seizers can last more than 15
minutes or happen or then once in 24 hours.
They may also involve movement or twitching of just
one part of the body.
Febrile stop on their own
While the fever may continue for sometime.
3
Causes Of Febrile Seizures
Infection :-Usually the fever that triggers are caused
by a viral infection and less commonly by a bacterial
infection, such as flu and roseola.
Post –Immunization Seizures :-The risk of febrile
seizure may increased due to some childhood
immunization,such as Diphtheria,Tetanus and
Pertussis vaccinations.
Family History :-Some children inherit a family’s
tendency to have seizures with a fever.
4
Treatment
5
Patients with active seizures should be treated
with airway management.
Anti-pyretic drugs (Acetaminophen,
Ibuprofen) are used in febrile seizure by given
oral or rectal route (when fever is started).
Anti-convulsant agents (Diazepam,
Lorazepam) after these drugs record child heart
rate, blood pressure and breathing.
Sometimes by sponging with room
temperature water (not cold).
Aim & Objectives
6
Review the risk factor of febrile
seizures.
To know about the method to Improve
Patient care.
To Determine the Sign and Symptoms
Literature review
7
S.NO Author Article YEAR
1 Nooruddin R Tejani Febrile Seizures 2017
2 Syndi Seinfeld and John
M. Pellock
Recent Research on
Febrile Seizures
2014
3 Tonia Jones and Steven j.
Jacobsen
Childhood Febrile
Seizures
2007
4 Harvey, Eric, Adam and
Thomas
Treatment of Pediatric
Neurological Disorders
2005
5 C Waruiru, R Appleton Febrile Seizures 2004
6 Anne, T Berg,Shlomo
Shinnar Allen Hauser
A Prospective Study Of
Recurrent Febrile Seizures
1992
Literature review
8
S.NO Author Article YEAR
1 Janet L. Patterson Febrile Seizures 2013
2 Siba Prosad Paul Management of Febrile
Convulsion In Children
2015
3 P.D Singhi, K. jayshree Febrile Seizures An
Update
1995
4 Jithangi Wanigasinghe Management Of Simple
Febrile Seizures
2017
5 Abdulafeez M.Khair and
Dala Elmagrabi
Febrile Seizures And
Febrile seizures
Syndromes: An Updated
Overview Of Old And
Current Knowledge
2015
To find out relevant articles
Review of articles
Compilation of information from different
articles
Compilation of thesis
9
Plan Of Work
Febrile seizures are the most common type of
childhood seizures. The peak age of onset febrile
seizures are 18 months. With temperature more than
38°C.
Signs and symptoms include , loss of consciousness,
Jerking of arm and legs, difficulty breathing, foaming at
the month,
Management involve symptom control and treating the
cause of the fever.
Febrile seizures do not cause neurological damage.
Complex FS particularly if prolonged and an abnormal
neurological status are recognised risk factor for the
development of later epilepsy.
It is important to realize some special febrile seizures
syndromes ,which can have some long-term neurological
abnormalities. 10
Conclusion
The risk of febrile seizures increased after certain
combination of vaccines. Like, pneumococcal conjugate
vaccine (PCV), trivalent inactivated influenza vaccine and
diphtheria-tetanus-acellular-pertussis (DTaP). But the
absolute risk of febrile seizures after these combination is
less.
11
Conclusion
Syndi Seinfeld ,John M. Pellock; Recent research on febrile
Seizures; J Neurol Neurophysiol 2014; 4(165):1-13.
Tonia Jones, Steven J. Jacobsen; Childhood febrile seizure;. Int. J.
Med. Sci.; 2007; 4:111-112.
Nooruddin R Tejani; Febrile Seizures; medscape; 2017.
Harvey, Eric, Adam,Thomas; Treatment of Pediatric Neurological
Disorders; Taylor & Francis Group; 2005; 73-79.
C Waruiru, R Appleton; Febrile Seizures; Arch Dis Child 2004;
89:751–756; doi: 10.1136/adc.2003.028449
Anne, T Berg,Shlomo Shinnar, Allen Hauser et al; A Prospective
Study Of Recurrent Febrile Seizure; .The New England Journal of
Medicine ; 1992; 327; 1122-1127.
Patterson Janet.L. , A. Stephanie, Carapetian, et al;. Febrile
Seizures;. Pediatric Annals. 2013; 45(12):258-263.
12
References
M.K. Abdulhafeez and E. Dalal. Febrile Seizures and Febrile
Seizure Syndromes: An Updated Overview of Old and Current
Knowledge,” Neurology Research International, vol.2015, no.7,
pp.7, 2015.
S.P. Paul, .Management Of Febrile Convulsion In
Children.Journals.rcni, vol.23, number 2, pp. 1,2015.
Singhi P.D, Jayshree K. Febrile seizures: An update. Indian
Pediatrics. 1995; 32:565-572.
Duffy Jonathan, Weintraub Eric, Simon, et al. Febrile seizures risk
after vaccination in children 6 to 23 months.
Pediatrics.2016;138(1):e20160320.
13
References
Thank you !!!....
14

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LITERATURE REVIEW OF FEBRILE SEIZURES

  • 1. LITERATURE REVIEW OF FEBRILE SEIZURES Submitted By: Pankaj Kumar Maurya Roll no: 1438689 DEPARTMENT OF PHARMACY PRACTICE ISF COLLEGE OF PHARMACY, MOGA 1 Supervisor: Dr. Mandeep kaur Assistant Professor
  • 2. Introduction Febrile seizures(FS) are defined as a convulsions that can happen during a fever (febrile means “feverish”). They affect kids 3 month to 6 year old. Febrile most common in babies of 12-18 months old. The seizures usually last for a few minutes and a fever above 100.4⁰F (38°C ) Types of febrile seizures Simple febrile seizures. Complex febrile seizers. 2
  • 3. Introduction Simple febrile seizures are usually over in a few minutes. But in rare cases they can last up to 15 minutes. During this type of seizure, a child’s whole body convulse, shake and twitch eyes may role and she or he moan or become unconscious. Children sometime vomit or urinate on themselves during the convulsions. Complex febrile seizers can last more than 15 minutes or happen or then once in 24 hours. They may also involve movement or twitching of just one part of the body. Febrile stop on their own While the fever may continue for sometime. 3
  • 4. Causes Of Febrile Seizures Infection :-Usually the fever that triggers are caused by a viral infection and less commonly by a bacterial infection, such as flu and roseola. Post –Immunization Seizures :-The risk of febrile seizure may increased due to some childhood immunization,such as Diphtheria,Tetanus and Pertussis vaccinations. Family History :-Some children inherit a family’s tendency to have seizures with a fever. 4
  • 5. Treatment 5 Patients with active seizures should be treated with airway management. Anti-pyretic drugs (Acetaminophen, Ibuprofen) are used in febrile seizure by given oral or rectal route (when fever is started). Anti-convulsant agents (Diazepam, Lorazepam) after these drugs record child heart rate, blood pressure and breathing. Sometimes by sponging with room temperature water (not cold).
  • 6. Aim & Objectives 6 Review the risk factor of febrile seizures. To know about the method to Improve Patient care. To Determine the Sign and Symptoms
  • 7. Literature review 7 S.NO Author Article YEAR 1 Nooruddin R Tejani Febrile Seizures 2017 2 Syndi Seinfeld and John M. Pellock Recent Research on Febrile Seizures 2014 3 Tonia Jones and Steven j. Jacobsen Childhood Febrile Seizures 2007 4 Harvey, Eric, Adam and Thomas Treatment of Pediatric Neurological Disorders 2005 5 C Waruiru, R Appleton Febrile Seizures 2004 6 Anne, T Berg,Shlomo Shinnar Allen Hauser A Prospective Study Of Recurrent Febrile Seizures 1992
  • 8. Literature review 8 S.NO Author Article YEAR 1 Janet L. Patterson Febrile Seizures 2013 2 Siba Prosad Paul Management of Febrile Convulsion In Children 2015 3 P.D Singhi, K. jayshree Febrile Seizures An Update 1995 4 Jithangi Wanigasinghe Management Of Simple Febrile Seizures 2017 5 Abdulafeez M.Khair and Dala Elmagrabi Febrile Seizures And Febrile seizures Syndromes: An Updated Overview Of Old And Current Knowledge 2015
  • 9. To find out relevant articles Review of articles Compilation of information from different articles Compilation of thesis 9 Plan Of Work
  • 10. Febrile seizures are the most common type of childhood seizures. The peak age of onset febrile seizures are 18 months. With temperature more than 38°C. Signs and symptoms include , loss of consciousness, Jerking of arm and legs, difficulty breathing, foaming at the month, Management involve symptom control and treating the cause of the fever. Febrile seizures do not cause neurological damage. Complex FS particularly if prolonged and an abnormal neurological status are recognised risk factor for the development of later epilepsy. It is important to realize some special febrile seizures syndromes ,which can have some long-term neurological abnormalities. 10 Conclusion
  • 11. The risk of febrile seizures increased after certain combination of vaccines. Like, pneumococcal conjugate vaccine (PCV), trivalent inactivated influenza vaccine and diphtheria-tetanus-acellular-pertussis (DTaP). But the absolute risk of febrile seizures after these combination is less. 11 Conclusion
  • 12. Syndi Seinfeld ,John M. Pellock; Recent research on febrile Seizures; J Neurol Neurophysiol 2014; 4(165):1-13. Tonia Jones, Steven J. Jacobsen; Childhood febrile seizure;. Int. J. Med. Sci.; 2007; 4:111-112. Nooruddin R Tejani; Febrile Seizures; medscape; 2017. Harvey, Eric, Adam,Thomas; Treatment of Pediatric Neurological Disorders; Taylor & Francis Group; 2005; 73-79. C Waruiru, R Appleton; Febrile Seizures; Arch Dis Child 2004; 89:751–756; doi: 10.1136/adc.2003.028449 Anne, T Berg,Shlomo Shinnar, Allen Hauser et al; A Prospective Study Of Recurrent Febrile Seizure; .The New England Journal of Medicine ; 1992; 327; 1122-1127. Patterson Janet.L. , A. Stephanie, Carapetian, et al;. Febrile Seizures;. Pediatric Annals. 2013; 45(12):258-263. 12 References
  • 13. M.K. Abdulhafeez and E. Dalal. Febrile Seizures and Febrile Seizure Syndromes: An Updated Overview of Old and Current Knowledge,” Neurology Research International, vol.2015, no.7, pp.7, 2015. S.P. Paul, .Management Of Febrile Convulsion In Children.Journals.rcni, vol.23, number 2, pp. 1,2015. Singhi P.D, Jayshree K. Febrile seizures: An update. Indian Pediatrics. 1995; 32:565-572. Duffy Jonathan, Weintraub Eric, Simon, et al. Febrile seizures risk after vaccination in children 6 to 23 months. Pediatrics.2016;138(1):e20160320. 13 References