Annegers et al identified factors associated with recurrent febrile convulsions in children. This can help identify patients who may benefit from a more intensive evaluation. The authors are from the University of Texas at Houston, Tulane University, Columbia Medical School (New York) and the Mayo Clinic.
Parameters:
(1) age of the child during episode
(2) history of febrile convulsions in first degree relatives
(3) complex features
Definitions:
(1) Multiple seizures within a 24 hour period was termed a single seizure with repeated episodes.
(2) Complex features included (a) focal seizure (not generalized); (b) duration > 10 minutes; (c) single seizure with repeated episodes
|
Parameter |
Finding |
Points |
|
age of child |
< 18 months |
1 |
|
|
>= 18 months |
0 |
|
family history |
positive |
1 |
|
|
negative |
0 |
|
complex features |
1 or more |
1 |
|
|
0 |
0 |
|
Age of Child |
Family History |
Complex |
Rate Second Seizure |
Rate Second Complex Seizure |
|
0 |
0 |
0 |
15% |
3% |
|
0 |
0 |
1 |
9% |
3% |
|
0 |
1 |
0 |
27% |
16% |
|
0 |
1 |
1 |
37% |
12% |
|
1 |
0 |
0 |
24% |
9% |
|
1 |
0 |
1 |
40% |
25% |
|
1 |
1 |
0 |
37% |
21% |
|
1 |
1 |
1 |
52% |
18% |
from Table III, page 212, and Table V, page 214
|
Age of Child |
Family History |
Complex |
Rate Third Seizure |
|
0 |
0 |
0 |
6% |
|
0 |
0 |
1 |
36% |
|
0 |
1 |
0 |
30% |
|
0 |
1 |
1 |
28% |
|
1 |
0 |
0 |
39% |
|
1 |
0 |
1 |
36% |
|
1 |
1 |
0 |
62% |
|
1 |
1 |
1 |
50% |
from Table IV, page 213
where:
• The rate for the third seizure appears to presume that both of the prior seizures occurred before 18 months of age and both were complex.
Specialty: Pedatrics, Infectious Diseases, Neurology
ICD-10: ,
