FEBRILE CONVULSIONS

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	FEBRILE CONVULSIONS
	*FEBRILE CONVULSIONS*

FEBRILE CONVULSIONS

Febrile convulsions

Attacks caused by a fast ascent of the temperature and characterized by conscience lagoons and uncontrollable muscular espasmos.

Age

It affects to suckling babies and small children, who still do not have mature the central nervous system (until both years, approximately).

Causes

Sudden fever by any cause, with inexplicable irritability of the central nervous system in some children.

Signs and symptoms

Generally, an infection with fever precedes to the convulsions, although sometimes they appear the first convulsions.

The symptoms include:

Loss of the knowledge.

Violent movements of the arms, legs or face that last of 2 to 3 minutes.

Loss of the control of vejiga and the intestine.

Irritability when recovering the knowledge followed of the dream during several hours.

Factors of risk

Consecutive infections.

Prevention

When it appears the fever in a boy who has undergone a febrile convulsion previously, he applies the measures immediately to reduce the fever (to see General Measures).

Diagnosis and treatment

DIAGNOSIS:

File and physical examination by a doctor.

Analysis of blood and the spinal liquid.

EEG.

TREATMENT:

General measures

During espasmo, it moves away of the boy the potentially dangerous objects.

Take note from the details and comuníqueselos to its doctor. The information must include the following thing:

When empezo '?

How long passed since the fever raised to him?

Were equal the movements of the members in both sides of the body or it was shaken plus a side that the other?

How much lasted the convulsion? Slept later the boy? How long?

Was repeated espasmo after an interval?

The answers will help their doctor to decide if espasmo were a febrile convulsion or a epiléptico attack triggered by the fever.

After the convulsion, it tries to make to go down the fever. For it:

Administer some antipyretic, like paracetamol or the aspirin.

Apply to compresas soaked in water fria or alcohol.

Submerge to the boy in a fresh water bath (not very cold).

Medication

The doctor can prescribe anticonvulsive drugs like fenobarbital, to prevent the repetition.

Some doctors recommend medication after the first convulsion, many only put treatment if he repeats himself.

The anticonvulsive ones are only effective if they are taken to newspaper during a considerable number of years.

Activity

Maintain to the boy resting in the bed until it passes the fever and the primary disease is cured.

Then, déjele that returns gradually to its normal activities.

Diet

After the convulsion, it gives the extra liquid boy, water including, or tea, tail and juices of fruit.

Warn its medico if

A wound takes place during espasmo.

The cause of the fever does not send in 3 days.

The boy puts itself blue during the attack.

Complications

Physical injuries during a convulsion.

Cerebral injury after repeated convulsions.

Prognosis

In spite of its horrifying aspect, a convulsion only caused by the fever in a boy usually does not have gravity.

Nevertheless, it must be considered and be investigated the possibility that other reasons exist.

If the first convulsion happens in a smaller boy of 5 months, can be necessary a neurological recognition and other tests.

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