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Information was available for 14676 of the cohort children,398(2.7%)of them had had at least one febrile convulsion.16 children were known to be neurologically or developmentally abnormal before the first attack.Of the remaining 382 children,305 had had a simple first febrile convulsion and 77 a complex first febrile convulsion.Thirteen of the 382 had had one or more afebrile seizures,nine of whom had developed epilepsy(recurrent afebrile seizures).A higher proportion of children with complex febrile convulsions(6/95)rather than simple febrile convulsions(3/287)developed epilepsy,the risk being highest for those who had had focal febrile convulsions(5/17;x2=39.9,p<0.001).Three of the 32 children who had prolonged febrile convulsions developed afebrile complex partial seizures, The risk of epilepsy after febrile convulsions is much less than reported in many hospital studies,and if febrile convulsions cause brain damage that leads to later epilepsy this is a rare occurrence. |
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prognosis
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seizure
seizure,febrile
seizure,risk factors for
seizure,treatment of
treatment of neurologic disorder
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