Long Febrile Seizures Linked to Developmental Delays

Ten-minute duration should divide between simple and complex febrile seizures

MONDAY, Jan. 31 (HealthDay News) -- A prolonged first febrile seizure is likely to occur at a younger age and is associated with developmental delay, according to a study published online Jan. 11 in the Annals of Neurology.

Dale C. Hesdorffer, Ph.D., of Columbia University in New York City, and colleagues analyzed the distribution of febrile seizure duration in a cohort with first febrile seizure, and examined the association between febrile seizure duration and baseline characteristics of the children. A cohort of 158 children, aged 6 months to 5 years, with first febrile seizure underwent neurological examinations and detailed history-taking.

The researchers found that the median duration of first febrile seizures was four minutes. The majority of febrile seizures (82.3 percent) were short, with a mean duration of 3.8 minutes. Long febrile seizures, experienced by 17.7 percent of the cohort, had a mean duration of 39.8 minutes. These long febrile seizures were significantly associated with a developmental delay and a younger age at first febrile seizure. The authors said their findings strengthened evidence for making a 10-minute duration the dividing line between simple and complex febrile seizures.

"Like the distribution of febrile seizure duration in children, the distribution of first febrile seizure duration is best modeled by assuming two populations. Developmental delay and younger age are associated with prolonged febrile seizure. Our data lend further support to defining 10 minutes as the upper limit for a simple febrile seizure," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events