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Showing posts with label Febrile convulsion. Show all posts
Showing posts with label Febrile convulsion. Show all posts

9.3.11

Prognosis of convulsion and factors

Prognosis of convulsion and the following factors:


1. the duration of the attack. Febrile convulsion attacks more than 10 minutes can cause nerve cell damage, 30 minutes above the half left to a different degree of nerve dysfunction.


2. the number of occurrences. Attack more, worse prognosis, 10 times more than half of the poor prognosis of recurrence.


3. primary age. Less than 1 year old author, prognosis is poor, due to strong cerebral metabolism during this period, compensation is not caused by the full impact of nerve function.


4. If the anomalies of the nervous system often have poor prognosis before the attacks, some people think that mental retardation remnants of about 45%.


5. family history. Seizure patients in family, into the future possibility of epilepsy.

How can I prevent febrile convulsion

Febrile convulsion is very serious harm to the baby, so how can I prevent febrile convulsion happen? The following measures are available for reference:


A, heat convulsions seen in 6 months to 5 years old children, about 95%, for children in this age group should pay particular attention to strengthening nursing in peacetime, nutrition, improve their health, minimize heat illness.


Second, hyperpyrexia convulsion in children, when the cold or hot early STD should be prior to oral antipyretic agent (such as aspirin) and sedatives (luminal), or the use of physical cooling to prevent sudden rise in body temperature.


Three, on the past there have been multiple authors, some advocated taking Lu Mina to prevent recurrence. When there is a convulsion to the risk factors of epilepsy,, should go to hospital for further examination by doctors determine whether long-term medication is necessary.

Prognosis of infantile hyperpyretic convulsion

Febrile convulsion is due to high fever and convulsions, General initial attacks in children between the ages of 1 month to 5-6, found in upper respiratory tract infection or other infectious diseases more than body temperature 38 ℃ when, suddenly, attacks are often short, no neurological symptoms and signs after the attack.


Febrile convulsion is the most common type of convulsion in children, about 2% per cent of children under 5 had more than 1 of febrile convulsion. Convulsion leave sequelae do? in General, most of the prognosis is good, after the age of 6 are no longer attack, do not leave neurological sequelae. But some of the children (approximately 5% per cent) left after mental retardation, epilepsy and neurological abnormal behavior.

And no heat is febrile convulsions?

Febrile convulsions are more common in the period of the central nervous system dysfunction in children emergency symptoms in infants and young children are more often, good for 6 months ~5 years of age, ~20 months to 9 months to peak, its incidence is about 2%~4%, in Europe and for the 2%~5%.


Febrile convulsions are mostly caused by various infectious diseases, respiratory infections most often above, typical clinical manifestation of their attack is: sudden loss of consciousness, with eyes on the ball turned, staring or strabismus, facial muscle or muscle rigidity of limbs, spasm or constantly twitch. Time can be from a few seconds to several minutes of the onset, sometimes repeated attacks, or even status. Convulsions are brain cell dysfunction at a time, causing abnormal cells discharge, combined with different degree of hypoxia during convulsion, caused some damage to the central nervous system, serious sequelae of febrile seizures may be remnants of the nervous system.


No heat convulsions common in metabolic diseases, nutritional disorders (such as amino acid metabolism diseases, phenylketonuria, high calcium, low sodium, low sodium, low potassium, low blood sugar, vitamin B6-dependent); various toxic encephalopathy, central nervous system diseases (congenital malformations, trauma), hysteria, epilepsy, etc. This disease usually does not heat, but sometimes because of seizures for a long time, can also cause body temperature to rise. Febrile convulsion consequences rather than cause, generally through a detailed history of asking, after looking for the primary foci of the disease and the cause, and febrile convulsion is not difficult to identify without heat convulsion.

What are the characteristics of infantile hyperpyretic convulsion?

Any of extracranial infection caused by sudden high fever, can cause seizures in children, the febrile convulsion is the infant during the most common causes of seizures. Its incidence is about 2%~8%. Has significant genetic predisposition. Its mechanism has not yet fully understood. May be mainly due to infant brain development is not yet perfect, identification and suppression analysis of vaccinations, a weak stimuli can strong excitement and diffusion in the brain, leading to abnormal discharge of neurons, and convulsions. Department of Chinese medicine believes that child care \"pure Yang of the body, suffering from various evil, heat speed, extreme heat causing wind\".

Typical febrile convulsion in children the age of 6 months ~3, rare after the age of 6. General physical fitness in children with better (pure Yang of the body), more than early disease convulsion occurs when sudden rise in body temperature (heating speed, extreme heat causing wind), respiratory infection when they see above. Convulsion general systemic attacks, fewer, shorter, restore faster, generally a few seconds to several minutes, rarely more than 15 minutes, after the cessation of seizures consciousness to return to normal. Not with organic diseases of central nervous system, also find no abnormal nervous system signs, prognosis is good. But since then, fever later in children with 30%~50% also susceptible to seizures, General to school-age no longer occur. In the course of the same diseases, rarely attack more than twice. If the fever does not return, repeated seizures or convulsions more than, be aware that excluding severe diseases of central nervous system or other system.