Febrile Seizure Preventive Treatment for Recurrences

Febrile seizures, the most common type of seizures in infants and young children under 5 years. It continues to be the subject of intense interest and controversy among physicians about the treatment. Aim This study was designed to identify which is the best method of treatment of Complex Febrile Seizure with intermittent or continuous prophylaxis with AED. Materials & Methods106 children with diagnosis Febrile seizure Complex were included. Patients was divided in 2 groups. Firs group patients with intermittent prophylaxis treatment Diazepam and antipyretics during fever and second group patients with prophylactic therapy AED. Treatment duration 1 year. All the patients was followed up for 3 years for any new seizure occur. All data were analyzed by SPSS Results No significant statistical difference was found between both groups regarding the rate of seizure relapse during follow up. It is found that presence of significantly abnormal EEG in the group treated without AED. Conclusion As a conclusion regarding the treatment of Complex Febrile Seizure first we must evaluate the balance risk-benefit regarding AED treatment. EEG monitoring in children with Complex Febrile Seizure is recommended because in our study we found a correlation between abnormal EEG and seizure relapse.