Background and Aims Febrile seizures are a common health problem in pediatric practice, knowledge of clinical manifestations and their evolution is important for correct therapeutic approach.

Assessment of clinical and evolutional features of febrile seizures (FS), with emphasis on risk factors such as age of onset, sex, FS category, familial history, etc., on the appearance of FS and on the risk of their recurrence is the aim of this work.

Method The authors conducted a retrospective study including 127 children aged 6 months to 5 years, hospitalized for FS between January 2008-March 2009 in our clinic. The role of risk factors in the development and recurrences of FS was analyzed.

Results FS appearance correlates with high fever (78%), male (54%), age 1–2 years (50%), but most do not associate familial history (20%), the global presence of at least one risk factor is found in 93% of cases.

Recurrences appear in 43% of cases of FS and 98% of cases correlate with the presence of at least one risk factor for recurrences (familial history 16% cases, onset of FS under the age of 1 year 29% cases, 47% complex FS).

Conclusions FS appearance correlates with high fever, male gender and age 1–2 years; appearance of relapses associates with complex FS, familial history and age under 1 year at onset.