Veja grátis o arquivo Convulsão febril enviado para a disciplina de Neuro Infantil Categoria: Anotações – Veja grátis o arquivo Convulsão febril enviado para a disciplina de Neuro Infantil Categoria: Anotações – 4 – GUERREIRO, Marilisa M. et al. Profilaxia intermitente na convulsão febril com diazepam via oral. Arq. Neuro-Psiquiatr. [online]. , vol, n.2, pp
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Enviado por Gabriella flag Denunciar. This article provides an update on the current understanding and management of febrile seizures. Febrile seizures are one of the most common age-related epileptic convulsions that lead to outpatient consultations, emergency department visits, and hospital or intensive care admissions.
The Febrip of Prolonged Febrile Seizures in Childhood FEBSTAT study, an ongoing multicenter prospective longitudinal study, is providing valuable insights into the subset of patients who develop febrile status epilepticus, the most life-threatening type of febrile seizures with potential long-term consequences.
Mutations in voltage-gated ion channels and neurotransmitter receptor genes have been shown to result in familial occurrence convulso febrile seizures and epilepsy. Acute abortive treatment of febrile seizures using a commercially available rectal delivery kit has gained widespread use by nonmedical caregivers as a first-line treatment at home.
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Most febrile seizures are self-limiting episodes with low risk of injury, death, and long-term neurologic consequences. Most fevers and infections that cause febrile seizures are convulaso benign and do not require extensive testing or procedures.
Long-term management requires thorough assessment and risk stratification to devise a customized plan for each child, paying attention to the caregiver situation at home and day care.
Most important treatment efforts are directed at caregiver education and, when appropriate, on effective use of abortive seizure treatment at home. Continuum Minneap Minn ;22 1: Unauthorized reproduction of this article is prohibited.
The majority of children with febrile seizures have nor- mal growth and development. Febrile seizures show no clear sex predilection. Most febrile seizures occur at or around the onset of fever.
The fever of febrile seizures is commonly due to self-limiting viral infections affecting ear, nose, and throat or respiratory or gastrointestinal systems, and the risk of CNS infection is low.
Genetics seem to play a major role in febrile seizures. Dravet syndrome is the most severe form of voltage-gated sodium channelYrelated epileptic encephalopathy, with febrile seizures, febrile status epilepticus, the development of intractable generalized epilepsy, and severe cognitive impair- ment.
Vast intrafamilial and interfamilial variation exists in the clinical course of genetic epilepsies, and genotype- phenotype characterization is complex and poorly understood. It is important to keep in mind that the majority of children with febrile seizures do not have a family history of them, and ge- netic testing is not routinely warranted.
Other pathophysiologic triggering factors, such as rate of rise of fever, peak body temperature during the illness, vac- cinations mainly diphtheria-pertussis- tetanus and measles-mumps-rubellalow birth fsbril and in utero growth retardation, respiratory alkalosis, and systemic release of proinflammatory cy- tokines have been reported. These trig- gers remain a matter of much debate and are not helpful in directing clinical management.