Spontaneous fits after convulsions with fever.

Wallace, Sheila J.

doi:10.1136/adc.52.3.192

Cited by 48 publications

(8 citation statements)

References 17 publications

(14 reference statements)

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“…Falconer et al (1964Falconer et al ( ,1968Falconer et al ( ,197 1,1974Falconer et al ( ,1976 first suggested that prolonged febrile convulsions in infancy or early childhood lead to development of temporal lobe epilepsy (TLE). Subsequent studies (Ounsted et al, 1966;Ounsted, 1967;Tsuboi and Endo, 1977a;Wallace, 1977;Nelson and Ellenberg, 1978;Rasmussen, 1979;Annegers et al, 1979Annegers et al, , 1987Lee et al, 1981;Schmidt et al, 1985;Ounsted et al, 1987;Rocca et al, 1987) reported conflicting results, perhaps because of variable methods of ascertainment or different study populations. Among patients with intractable TLE studied with a view to surgical treatment, 9-50% have a history of febrile convulsions (Paillas, 1958;Green, 1967;Jensen, 1976;Lindsay et al, 1984).…”

Section: Discussionmentioning

confidence: 99%

Temporal Lobe Epilepsy After Prolonged Febrile Convulsions: Excellent Outcome After Surgical Treatment

Abou‐Khalil¹,

Andermann

Andermann³

et al. 1993

Epilepsia

180

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We studied 47 consecutive patients who underwent temporal resection for seizure control. Nineteen (40%) had febrile convulsions preceding onset of their habitual seizures. In 17 of 18 patients whose disease duration was known, the febrile convulsions were prolonged (mean 4 h). As compared with patients without preceding febrile convulsions, patients with antecedent febrile convulsions had a significantly higher prevalence of positive family history of febrile convulsions, an increased incidence of retrospectively identified gestational or perinatal complications, and no foreign tissue lesions. Pathologic studies showed gliosis and cell loss in mesiotemporal structures, usually moderate, in addition to usually mild gliosis in lateral temporal cortex. These patients had an excellent outcome after temporal resection: 84% were seizure-free, had residual auras only, or occasional convulsions with medication discontinuation. One patient (5%) had > 90% improvement. Two patients (11%) in whom the hippocampus was totally spared continued to have complex partial seizures: in both, seizures stopped after reoperation and hippocampal resection. Thus, 95% of these patients had an excellent result. Only 16% required invasive preoperative studies to confirm lateralization. These results were significantly better than those of the group without preceding febrile convulsions (p = 0.0013).

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Section: Discussionmentioning

confidence: 99%

Temporal Lobe Epilepsy After Prolonged Febrile Convulsions: Excellent Outcome After Surgical Treatment

Abou‐Khalil¹,

Andermann

Andermann³

et al. 1993

Epilepsia

180

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“…Modern prospective studies failed to demonstrate a strong relationship between early febrile seizures and the later development of nonfebrile seizures of any type [24-271. Retrospective studies among patients with scalp EEG or clinical evidence of temporal lobe epilepsy also showed a low association of febrile seizures or childhood seizures with the subsequent development of chronic epilepsy [13, 161. Other retrospective studies that examined patients referred for neurosurgical management of CPSs found between 11 and 38% of patients with antecedent febrile seizures [23,[28][29][30].…”

Section: Etiologicul Fuctovsmentioning

confidence: 99%

Characteristics of medial temporal lobe epilepsy: I. Results of history and physical examination

French

Williamson

Thadani

et al. 1993

Annals of Neurology

788

507

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In order to more precisely define a syndrome of medial temporal lobe epilepsy, histories and physical findings were evaluated in 67 patients studied with intracranial electrodes who had medial temporal seizure onset and became seizure free following temporal lobectomy. Patients with circumscribed, potentially epileptogenic mass lesions were excluded. Fifty-four patients (81%) had histories of convulsions during early childhood or infancy, 52 of which were associated with fever. Complicated febrile seizures occurred in 33 (94%) of the 35 patients in whom detailed descriptions of the febrile seizures were available. Bacterial (5) or viral (2) central central nervous system infections were present in 7 patients with seizures and fevers. Other less common, but probably significant, risk factors included head trauma (10%) and birth trauma (3%). Only 5 patients had no apparent risk factors. The mean age at habitual seizure onset was 9 years. All patients had complex partial seizures, with half having only complex partial seizures. The other half also had secondarily generalized tonic-clonic seizures, but these were never the predominant seizure type. Only 3 patients had histories of convulsive status epilepticus and no patient had a history of nonconvulsive status epilepticus. All but 3 patients reported auras before some or all of their seizures, with an abdominal visceral sensation being by far the most common type of aura (61%). Of the 60 patients with identified risk factors, all but 2 had an interval between the presumed cerebral insult and the development of habitual seizures, with a mean seizure-free interval of 7.5 years.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…It should be noted that studies of short, generalized, febrile seizures in healthy children over a year of age have shown a similar low prevalence of later epilepsy and a similarly poor ability to predict which few children will become epileptic (Lennox-Buchthal 1973, Nelson and Ellenberg 1976, Wallace 1977.…”

Section: Discussionmentioning

confidence: 99%

Reported Seizures in Early Childhood: a 14‐year Follow‐up

Costeff¹,

Avni²

1982

Develop Med Child Neuro

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SUMMARY A detailed medical history is commonly regarded as a reliable means of classifying unexplained childhood losses of consciousness into diagnostic groups such as febrile seizures, epileptic attacks and breath‐holding spells. The authors have tested this assumption by comparing adolescent follow‐up status with the initial medical history in 56 individuals who suffered sudden losses of consciousness before age five. Only three of these 56 were epileptic when followed‐up in adolescence and only two had received anticonvulsants at any time. The prognosis for 26 individuals with afebrile seizures without evidence of breath‐holding syncope was not significantly worse than that for another 16 with febrile seizures. These findings indicate a good prognosis for untreated childhood seizures of a type often classified as epileptic. RÉSUMÉ Crises diagnostiquées dans la première enfance: Etude longitudinale de 14 ans Une histoire médicale détaillée est généralement considérée comme un moyen fidéle pour classer les pertes de conscience inexpliquées de l'enfance dans un groupe diagnostic tel que crises fébriles, crises d'épilepsie, syncopes d'apnée. Cette affirmation a été soumise á une comparaison avec l'état à l'adolescence de 56 sujets pour lesquels une histoire médicale initiale pouvait être reconstituée et qui avaient présenté une perte de conscience avant l'âge de cinq ans. Trois seulement de cas sujets étaient épileptiques à l'adolescence et deux avaient reçu à une époque donnée des médications anti‐comitiales. Le pronostic chez 26 sujets avec crises afébriles sans indication de syncope par apnée n'était pas significativement pire que celui de 16 sujets avec crises fébriles. Ces données soulignent le bon pronostic des crises non traitées de l'enfance d'un type souvent considéré comme épileptique. ZUSAMMENFASSUNG Krampfanfälle im frühen Kindersalter: eine 14 jährige Kontrollstudie Anhand einer detailierten Anamnese werden in der Regel ungeklärte Bewußtseinsverluste im Kindersalter in diagnostische Gruppen eingeteilt, wie Fieberkrämpfe, epileptische Anfálle und apnoische Anfälle. Diese Diagnosen wurden überprüft, indem der Kontrollbefund im Erwachsenenalter mit der anfánglichen Anamnese bei 56 Patienten verglichen wurde, die vor dem fünften Lebensjahr einen plötzlichen Bewußtseinsverlust erlitten hatten. Nur drei dieser 56 waren bei der Kontrolle im Erwachsenenalter Epileptiker und zwei hatten irgendwann einmal Antikonvulsiva erhalten. Die Prognose der 26 Patienten mit afebrilen Anfällen ohne Anhalt für apnoische Synkopen war nicht wesentlich schlechter als die der 16 Patienten mit Fieberkrämpfen. Diese Befunde zeigen, daß unbehandelte Anfälle im Kindersalter, die häufig als epileptische Anfälle klassifiziert worden sind, eine gute Prognose haben. RESUMEN Convulsiones registradas precozmente en la infancia: estudio continuado durante 14 anös La historia médica detallada es considerada como un medio fiable de clasificar pérdidas de conciencia inexplicables en niños dentro de grupos diagnosticos tales como convulsiones...

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Spontaneous fits after convulsions with fever.

Cited by 48 publications

References 17 publications

Temporal Lobe Epilepsy After Prolonged Febrile Convulsions: Excellent Outcome After Surgical Treatment

Temporal Lobe Epilepsy After Prolonged Febrile Convulsions: Excellent Outcome After Surgical Treatment

Characteristics of medial temporal lobe epilepsy: I. Results of history and physical examination

Reported Seizures in Early Childhood: a 14‐year Follow‐up

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