My 11 yr old son had 2 febrile seizures at ages 15 mos and 18 mos. His pediatrician put him on Dilantin at age 2 until he was five. On Thanksgiving morning he had another seizure. He had a temp of 102.3. We took him to the hospital and they did a CAT scan which came back normal. We also made an appointment with his pediatrician who said it was caused by Strep throat.She advised us to go to a Childrens hosp. and they did an EEG.That came back normal.We just saw a child neurologist and she said he did have epilepsy.She put him on Dilantin and also has ordered a sleep-deprived EEG and MRI.We are going crazy trying to understand the difference between febrile seizures and fever induced seizures - which we are told he has.I have a friend who is a nursing instructor and she said alot of kids who have febrile seizures will have them again when they are going thru puberty.Is this true?How worried should we be at this point?He is very active and his doctors have said he can continue with all activities except swimming and rock climbing.
Febrile seizures in children are not uncommmon. A high fever lowers the brain's threshold for having a seizure. Many parents in your situation worry about their child having recurrent seizures, but only a small proportion of children with a single febrile seizure will have recurrent seizures, or epilepsy. The incidence of developing intractable seizures increases with each successive febrile seizure.
Given the history you have given it is still unlikely that your child will have recurrent seizures if the EEG and MRI are normal. Speak to your neurologist about these issues, specifically regarding the duration of therapy with anticonvulsants.
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