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. 1977 Mar;52(3):192–196. doi: 10.1136/adc.52.3.192

Spontaneous fits after convulsions with fever.

S J Wallace
PMCID: PMC1546287  PMID: 403865

Abstract

112 of an original sample of 134 children with febrile convulsions were reviewed between 8 years and 9 years 10 months after their initial attack. 17% of those followed up had had at least one spontaneous fit. A significant correlation was found with perinatal abnormalities. 12% had continuing recurrent fits. Persisting grand mal occurred most commonly in lower social class children who had had perinatal abnormalities and continued to have long-term neurological disorders. Psychomotor epilepsy correlated significantly with a prolonged or repeated initial convulsion with unilateral features. It is suggested that the development of grand mal and temporal lobe epilepsies after convulsions with fever are determined by different mechanisms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CARY W. Febrile convulsions in infancy and childhood. Med J Aust. 1956 Aug 18;43(7):254–256. doi: 10.5694/j.1326-5377.1956.tb56641.x. [DOI] [PubMed] [Google Scholar]
  2. Degen R., Goller K. Die sogenannten Fieberkrämpfe des Kindesalters und ihre Beziehungen zur Epilepsie. Nervenarzt. 1967 Feb;38(2):55–61. [PubMed] [Google Scholar]
  3. Doose H., Petersen C. E., Völzke E., Herzberger E. Fieberkrämpfe und Epilepsie. I. Atiologie, klinisches Bild und Verlauf der sogenannten Infekt- oder Fieberkrämpfe. Arch Psychiatr Nervenkr (1970) 1966;208(4):400–412. doi: 10.1007/BF00343054. [DOI] [PubMed] [Google Scholar]
  4. Drillien C. M. Studies in mental handicap. II. Some obstetric factors of possible aetiological significance. Arch Dis Child. 1968 Jun;43(229):283–294. doi: 10.1136/adc.43.229.283. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. EKHOLM E., NIEMINEVA K. On convulsions in early childhood and their prognosis; an investigation with follow-up examinations of patients treated for convulsions at the Children's Clinic of Helsinki University. Acta Paediatr. 1950;39(6):481–501. doi: 10.1111/j.1651-2227.1950.tb08545.x. [DOI] [PubMed] [Google Scholar]
  6. FRIDERICHSEN C., MELCHIOR J. Febrile convulsions in children, their frequency and prognosis. Acta Paediatr Suppl. 1954;43(100):307–317. doi: 10.1111/j.1651-2227.1954.tb15480.x. [DOI] [PubMed] [Google Scholar]
  7. Frantzen E., Lennox-Buchthal M., Nygaard A., Stene J. A genetic study of febrile convulsions. Neurology. 1970 Sep;20(9):909–917. doi: 10.1212/wnl.20.9.909. [DOI] [PubMed] [Google Scholar]
  8. HRBEK A. Fieberkrämpfe im Kindesalter. Ann Paediatr. 1957 Mar;188(3):162–182. [PubMed] [Google Scholar]
  9. LAPLANE R., HUMBERT R., LAGET P., SALBREUX R., DEBRAY P. Suites immédiates et lointaines des convulsions fébriles avant quatre ans. Rev Neurol (Paris) 1958 Jul;99(1):26–38. [PubMed] [Google Scholar]
  10. LENNOX M. A. Febrile convulsions in childhood; a clinical and electroencephalographic study. Am J Dis Child. 1949 Dec;78(6):868–882. doi: 10.1001/archpedi.1949.02030050887003. [DOI] [PubMed] [Google Scholar]
  11. LENNOX W. G. Significance of febrile convulsions. Pediatrics. 1953 Apr;11(4):341–357. [PubMed] [Google Scholar]
  12. MELIN K. A. Zur Prognose der Infektkrämpfe. Monatsschr Kinderheilkd. 1954 Feb;102(2):62–63. [PubMed] [Google Scholar]
  13. Meldrum B. S., Brierley J. B. Prolonged epileptic seizures in primates. Ischemic cell change and its relation to ictal physiological events. Arch Neurol. 1973 Jan;28(1):10–17. doi: 10.1001/archneur.1973.00490190028002. [DOI] [PubMed] [Google Scholar]
  14. Taylor D. C., Ounsted C. Biological mechanisms influencing the outcome of seizures in response to fever. Epilepsia. 1971 Mar;12(1):33–45. doi: 10.1111/j.1528-1157.1971.tb03913.x. [DOI] [PubMed] [Google Scholar]
  15. Van der Berg B. J., Yerushalmy J. Studies on convulsive disorders in young children. I. Incidence of febrile and nonfebrile convulsions by age and other factors. Pediatr Res. 1969 Jul;3(4):298–304. doi: 10.1203/00006450-196907000-00005. [DOI] [PubMed] [Google Scholar]
  16. Wallace S. J. Aetiological aspects of febrile convulsions. Pregnancy and perinatal factors. Arch Dis Child. 1972 Apr;47(252):171–178. doi: 10.1136/adc.47.252.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Wallace S. J. Factors predisposing to a complicated initial febrile convulsion. Arch Dis Child. 1975 Dec;50(12):943–947. doi: 10.1136/adc.50.12.943. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wallace S. J. Recurrence of febrile convulsions. Arch Dis Child. 1974 Oct;49(10):763–765. doi: 10.1136/adc.49.10.763. [DOI] [PMC free article] [PubMed] [Google Scholar]

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