True regarding febrile convulsion –

Types of febrile convulsions Febrile convulsions may be of two types. Simple benign Atypical complex 1. Simple benign febrile convulsions More common                                                            Last less than 10 minutes       Convulsions are generalized       No post ictal neurological deficit    Usually single seizure in the same day  EEG is normal after a few days    2. Complex, atypical febrile convulsions  Less common  More than one seizure in the same day Last more than 15 minutes Convulsions are focal              Risk factors for recurrence Positive family history Atypical complex febrile convulsions Neurodevelopmental retardation (e.g. cerebral palsy, mental retardation) Early onset of febrile seizure (before 1 year) Treatment of febrile seizure Febrile convulsions are managed by prompt reduction of temperature with → i) Antipyretics →  Paracetamole, Ibuprofen ii) Hydrotherapy → Sponging For seizures lasting > 5 minutes, anticonvulsants can be given - Diazepam is the DOC Phenobarbitone is an alternative