Feverish Convulsive Syndrome In Young Children

Febrile convulsions (SCCG) is a common syndrome in children under 5 years of age, manifested by convulsions or spasticity - seizures when the child has a high fever.
This is a medical condition that requires emergency management, because it can be life-threatening in the immediate future or leave serious sequelae such as seizures, mental retardation, and movement. , especially in cases of prolonged SCCG.
Causes and manifestations
There are many causes of SCCG, but the most common is SCCG due to infection (about 90% of cases are respiratory viral infections) and family history of SCCG (10%).
Clinically, there are two forms of SCCG: benign SCCG and complications

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However, it is necessary to distinguish high-febrile convulsions, because epilepsy recurs many times in the epilepsy but the child does not have a fever.
Particularly for children with a history of epilepsy, seizures may occur during the progression of another illness accompanied by fever.
Therefore, to distinguish more accurately, it is necessary to carefully examine the child, especially a neurological examination and an EEG after a seizure or a week after a shock to evaluate
Managing SCCG at home
Need to calmly put the child in a quiet, cool place, so that the child in a head-tilted position tilted to one side of the room, and also expanded the clothes and nappies for breathing.

Take care to bring sharp objects away from young people and remember to check if the child is still breathing, is the skin purple? Reduce fever by applying cool compresses.
The temperature of the water is about 30 degrees C, in parallel with the cool compress must use antipyretics paracetamol, should use an anal suppository.
Monitor your child's temperature by taking the temperature in the armpits or in the anus. Another point worth noting is that children should not be limited to movement (do not hold, hold) not to give anything into their mouths, including antipyretic paracetamol while they are convulsing or not fully awake.
And if a child's seizure lasts for more than 5 minutes or multiple convulsions in a row, the child must be taken to the emergency room in the hospital.
Preventive treatment of seizures
Prevent severe recurrent attacks with gardenal or depakin, use the drug continuously only when the child is under 1 year old with mental retardation, motor seizures lasting more than 15 minutes, or having motor paralysis after the attack. Prophylactic treatment must last continuously at least until the child is 4 years old

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