What are the sequelae of a one and a half year old febrile convulsion?

A febrile seizure in a one-and-a-half-year-old child usually does not cause long-term sequelae, but requires emergency treatment to avoid possible complications. If the seizures are frequent, long-lasting, or combined with other serious conditions, you should be alert to potential brain damage, developmental delay, or epilepsy. Parents need to master scientific care methods and seek medical attention to investigate potential causes.

1 Causes and risk classification of febrile seizures

Febrile seizures mostly occur in children between 6 months and 5 years old, and are caused by abnormal brain discharges due to a rapid increase in body temperature. This type of seizure is divided into simple and complex. Simple febrile seizures are short-lived, generally less than 15 minutes, with a high incidence rate, and most of them will not leave sequelae. Complex seizures last longer than 15 minutes, may occur repeatedly, or affect one side of the limbs, and have a relatively higher risk of sequelae, which may lead to memory impairment, reduced attention, or a higher risk of epilepsy.

2 Prevention and treatment methods

Parents should cool down their children in time when they have a fever. For example, use warm water to wipe the forehead, armpits and thigh roots to avoid high fever. If the body temperature exceeds 38.5℃, acetaminophen or ibuprofen can be used to reduce fever under the guidance of a doctor. When convulsions occur, the child should lie on his side with his head tilted to one side to keep the airway open, and try to protect the head from being hit. At the same time, pay attention to the timing and call the emergency number. If there is a doctor around or the child's convulsion lasts for more than 5 minutes, consider using diazepam suppositories to relieve it. After a complex convulsion occurs, a detailed EEG and MRI examination are required to check for structural encephalopathy or epileptic tendencies.

3 Daily recovery and identification of possible sequelae

Children with simple febrile seizures usually do not need special treatment after recovery, but it is recommended to observe whether their mental state and motor development are normal. If the child is found to have problems such as inattention, delayed language or motor development in daily activities, they should be evaluated and intervened by the doctor as soon as possible. If seizures occur repeatedly, further follow-up and treatment are also required, and genetic diagnosis should be performed if necessary to determine whether there are other causative factors.

Most febrile seizures in one and a half year old children are benign and will not cause lasting effects on intelligence and development. Parents can effectively reduce the risk of long-term problems caused by seizures by providing scientific care and timely medical examinations. Preventing recurrence and accurate diagnosis are important links in protecting children's health.