Febrile Seizures
摘要
Febrile seizures are the most common neurological condition in children, affecting approximately 2–5% of those aged 6 months to 5 years. While typically benign, they can be highly distressing for parents and carers and, in some cases, may signal an increased risk of developing epilepsy. Accurate recognition and diagnosis are essential, as most febrile seizures do not require extensive investigations or interventions. However, first-time or complex febrile seizures should be referred to a paediatrician for further assessment to ensure that serious underlying conditions are not missed. It is equally important to consider and rule out serious differential diagnoses—particularly central nervous system infections such as meningitis—which require urgent treatment. This chapter provides a comprehensive guide to the diagnosis and classification of febrile seizures, highlights red flags for other neurological conditions, and outlines the management of prolonged seizures, including appropriate emergency medications and dosages. It also offers practical strategies for effective communication with parents and carers, focusing on key information to educate and reassure them about this common pediatric condition.