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Febrile seizure
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==Signs and symptoms== Signs and symptoms depend on if the febrile seizure is simple versus complex. In general, the child's temperature is greater than {{convert|38|C|F|1}},<ref name="NHS2012" /> although most have a fever of 39 °C (102.2 °F) or higher.<ref name="Leu2018" /> Most febrile seizures will occur during the first 24 hours of developing a fever.<ref name="Leu2018" /> Signs of typical seizure activity include [[Unconsciousness|loss of consciousness]], opened eyes which may be deviated or appear to be looking towards one direction, irregular breathing, increased secretions or foaming at the mouth, and the child may look pale or blue ([[Cyanosis|cyanotic]]).<ref name="NHS2012" /><ref name="Leu2018" /> They may become incontinent (wet or soil themselves) and may also vomit.<ref name="NHS2012" /> === Types === There are two types of febrile seizures: simple and complex.<ref name=AAP2017 /> Febrile [[status epilepticus]] is a subtype of complex febrile seizures that lasts for longer than 30 minutes.<ref name=BMJ2015 /> It can occur in up to 5% of febrile seizure cases.<ref>{{cite journal|vauthors=Ahmad S, Marsh ED|date=September 2010|title=Febrile status epilepticus: current state of clinical and basic research|journal=Seminars in Pediatric Neurology|volume=17|issue=3|pages=150–4|doi=10.1016/j.spen.2010.06.004|pmid=20727483}}</ref> {| class="wikitable" |+Types<ref name="Leu2018" /><ref name=":9" /><ref name=BMJ2015>{{cite journal|vauthors=Patel N, Ram D, Swiderska N, Mewasingh LD, Newton RW, Offringa M|date=August 2015|title=Febrile seizures|journal=BMJ|volume=351|pages=h4240|doi=10.1136/bmj.h4240|pmid=26286537|s2cid=35218071}}</ref> ! !Simple !Complex |- |'''Characteristics''' |[[Generalized tonic–clonic seizure|Generalized tonic clonic]] movements (stiffening and shaking of arms and legs) |[[Focal seizure|Focal]] movements (usually affecting a single limb or side of the body) |- |'''Duration''' |<15 minutes (with most lasting <5 minutes) |>15 minutes |- |'''[[Postictal state]]''' |None or short period of drowsiness |Longer period of drowsiness; may experience [[Todd's paresis|Todd's paralysis]] |- |'''Recurrence''' |No recurrence in the first 24 hours |May recur in the first 24 hours |}
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