Definition
-Age + T°C + no CNS infection
1st) Age: 6 mo - 5 yo
*>6y→GEFS+
2nd) T ≥ 38°C
3rd) No CNS infection
Epidemiology
-MC szs of childhood
-Peak 1y
-Viral, mainly
>can occur after DTP (1d) or MMR (8d)
-Genetic, 25% FH of szs (FS or Epi)
Classificaiton
-Simple (90%)→ generalized < 15 min, no recur 24h
-Complex→ everything else
a) focal
b) > 15 min (some 10 min)
c) recur 24h
d) postictal neuro-deficit
Evaluation
-Based on classification, find T°C source
>Simple→ nothing specific
TTx
-Usually, self-limited (< 3 min)
-Otherwise, BZD, manage as SE
-Prophylaxis
>No ASM
>Antipyretics do not prevent FS
*Okay rescue BZD, if hs of febrile SE
Prognosis
-FS recurr→30%
-Epi, based on classification
>Simple, as general population