Febrile Seizures PPT

7/21/2019 Febrile Seizures PPT

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Febrile SeizuresMentor: dr. Pulung M. Silalahi, Sp. A

Written by: Hafz Fadhli (11!"1!#$

Department of PediatricRumah Sakit Tk.1 Bhayangkara Raden Said Sukanto

Faculty of Medicine Yarsi ni!ersityPeriode "#th of May $ "nd of %ugust "&1#



%efnition

A &ebrile seizure is a seizure a''opanied by &e)er(teperature *+o$ -ithout 'entral ner)oussyste in&e'tion, that o''urs in in&ants and

'hildren # through # onths o& age.

(Aeri'an A'adey o& Pediatri's$



pideiology

Febrile seizures o''ur in ! / 0 o& all 'hildren andas su'h, a2e up the ost 'oon 'on)ulsi)ee)ent in 'hildren younger than # onths



tiology

3eneti'Predispotitio

n

4n&e'tiousause

5a''ines



6is2 Fa'tor

Fe)er

Age

3eneti'

Malnutrition



Patophysiology

Fe)er(in'reasing 1o$

7asal etabolis8

(1 / 10$

4n'reasing 9! 'apa'ity

!

7alan'e 'hanging('ell neuron ebran$

%i&use into ebrane(ion ; <<<<<<< ion =a$

6eleased ele'tri' 'harge

Seizure

neurotransmitter



3lu'ose etabolis

hanged as energy

7alan'ing 'ell

Mebrane potential

=a / ; A>P<ase

(balan'ingdi?erentialpotential$

%i?erential potential

6eleased ele'tri''harge

Seizure



lassif'ation

@i)ingston 'riteria:

• Siple Febrile Seizure

• pilepsy -hi'h 'aused by &e)er

4%A4:

• Siple Febrile Seizure

• ople Febrile Seizure



%iagnosis

Ananesis

Seizure

FreBuen'y and duration

When

First tie or se'ond tie

4& it has, -hen did it happensC

>ype o& seizure

Another syptos ()oit, paralyze, de'reasing o&'ogniti)e &un'tion$

ons'iousness

=eurologi'al %ef'it



Histori'al o& pregnan'y

Faily history

Histori'al disease

Histori'al o& gro-th



Physi'al aination

>>5

3ro-th de)elopent status

=eurologi'al eaination Fra'ture eaination



Supporting aination

@aboratory

@ubal Pun'ture

3 ><s'an

M64



%i?erential %iagnosis

4ntra'ranial 4n&e'tion

>oi'

Metaboli' %isorder ousioD'ontusio

Histori'al o& stopping anti<epilepsy edi'ation



>herapy

7reathing anageent

6elaps pre)ention

Medi'ation du'ation



Medi'ation

Antipireti'

Para'etaol

4bupro&en

Anti2on)ulsant

%iazepa

@orazepa

Fenitoin Fenobarbital or )alproi' a'id



Parents du'ation

Ma2e sure that &ebrile seizure has a goodprognosis

>ell the ho- to ta2e 'are o& &ebrile seizure

3i)e the in&oration about relapsingpossibilities

>ell the to gi)e edi'ation &or pre)ention butalso they ust ta2e a good 'are about its side

e?e't



4& its relapsing

>ell the to 2eep 'al and donEt pani'

ntied e)ery 'lothes and a''essories espe'iallyin ne'2Es area

4& the 'hild un'ons'iousness, put the 'hild insupine and 'lean up the ess i& it is there

%o not put anything on outh

9bser)ation the teperature

Meo the type o& seizure

Meo ho- long does it ta2es



Stay -ith the 'hild during seizure

3i)e diazepa re'tal, do not e)er ga)e it -henthe seizure has stopped

7ring the 'hild to do'tor or to the hospital &ornet therapy i& the seizure ta2es ore than 0inutes or stopped



Hospital 4ndi'ation

G 1 period o& seizure in ! hours

Hiperpire2sia

ople seizure >here is neurologi'al def'it



Prognosis

Iuo ad )ita : bona

Iuo ad &un'tiona : bona

Iuo ad sana'tiona : bona



>HA=; J9

Febrile Seizures PPT

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