© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health
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Neurology
Status epilepticus with fever: how common is meningitis?
The Roald Dahl EEG Unit, Department of Neurology, Royal Liverpool Children’s Hospital (Alder Hey), Liverpool, UK
Correspondence to:
Correspondence to:
Dr R Appleton
Royal Liverpool Children’s Hospital, Alder Hey, Liverpool L12 2AP, UK; richard.appleton@rlch-tr.nwest.nhs.uk
Commentary on the paper by Chin et al (see 66)
Keywords: febrile; management; meningitis; status epilepticus
| The first 150 words of the full text of this article appear below. |
The majority of febrile seizures are simple (generalised and brief, lasting less than 10 minutes), occurring in children aged 6 months to 5 years. The risk of acute bacterial meningitis (ABM) in association with simple febrile convulsions is reported to be about 1–2%.1 Approximately one quarter of febrile convulsions are complex, defined as prolonged (>10 minutes), having a focal onset, recurring in the same illness, or followed by a neurological deficit. It is generally believed that the risk of ABM with a complicated febrile seizure is higher than with a simple febrile convulsion, but the exact figure is not known. At the most severe end of the spectrum are children with convulsive status epilepticus (CSE) and fever, usually defined on the basis of a seizure lasting more than 30 minutes or a series of seizures lasting at least 30 minutes from which they do not regain consciousness in between.
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- Meningitis is a common cause of convulsive status epilepticus with fever
- R F M Chin, B G R Neville, and R C Scott
Arch. Dis. Child. 2005 90: 66-69.[Abstract] [Full Text] [PDF]
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