Epilepsy and Febrile Seizures

by Carlo Raj, MD

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    Let’s talk about epilepsy. So with epilepsy, what does it mean? It means that you have unprovoked seizures. I’ll give a general definition. And what’s a seizure? A hypersynchronous type of electrical activity of the brain. Hypersynchronous. Risk factors. TORCH. Toxoplasma, Rubella, Cytomegalovirus, Herpes, so on and so forth. Prematurity. Hypoxic ischemic injury at birth. So anything that may result in ischemia to the fetus could be a problem. Family history of seizures. History of febrile seizure as a child, that’s important, okay? We’ll talk about febrile seizure and when we do so, we’ll be focusing upon children. History of meningitis or encephalitis or perhaps even head trauma. These are risk factors for unprovoked seizures, epilepsy. Epidemiology: Up to 10% of population will have seizures in their lifetime. So that’s actually quite high. 10% is no joke in the U.S. After one unprovoked seizure, there is a 30% chance that there might be second one. That’s all part of epilepsy. 1% of the population has epilepsy itself. So 10% could actually have a seizure. 1% could go onto epilepsy, whatever type. The incidence in new onset seizure is highest among the very young and the very old. Extreme, extremes of age. Etiology of seizure varies – A lot of your seizure and a lot of your epilepsy, the etiology is unknown, it’s idiopathic. Up to 60% actually. Let’s talk about febrile seizures. What does febrile mean to you? This is a fever. The most common cause of new onset seizure in a child. That’s what you want to know. Typically occurs between the age of six months and five years. So once again here, the clinical pearl is that the child has a fever and then they go onto his or her first hypersynchronous seizure. Occurring in the setting of...

    About the Lecture

    The lecture Epilepsy and Febrile Seizures by Carlo Raj, MD is from the course Seizures. It contains the following chapters:

    • Epilepsy
    • Febrile Seizures

    Included Quiz Questions

    1. Febrile seizure an example of epilepsy.
    2. Febrile seizures usually occur between 6 months to 5 years.
    3. Febrile seizures are generalized in onset.
    4. Febrile seizures can recur with fever episodes in future.
    5. Febrile seizures can typically have a benign prognosis.
    1. A febrile seizure occurring in a younger age group of less than 5 years of age.
    2. A focal onset of a febrile seizure.
    3. A febrile seizure is which is prolonged.
    4. The presence of other neurological abnormalities.
    5. There is a family history of epilepsy.
    1. Febrile seizure in an adult
    2. Head trauma
    3. Premature child
    4. Perinatal infections
    5. Hypoxic ischemic injury at birth

    Author of lecture Epilepsy and Febrile Seizures

     Carlo Raj, MD

    Carlo Raj, MD

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