Febrile convulsion


If the child is still seizing at the time of presentation, initial management is directed towards resuscitation and stopping the convulsion in accordance with APLS guidelines on the management of status epilepticus.

Management is directed towards identifying the cause and excluding serious infection.

If hypoglycaemic, please ask the labs for a ketone assay (an extra 0.5ml Lithium Heparin - orange top).


  1. C. M. Verity and J. Golding, "Risk of epilepsy after febrile convulsions: a national cohort study," BMJ, vol. 303, no. 6814, pp. 1373–1376, 1991, doi: 10.1136/BMJ.303.6814.1373
  2. N. Patel, D. Ram, N. Swiderska, L. D. Mewasingh, R. W. Newton, and M. Offringa, "Febrile seizures," BMJ, vol. 351, Aug. 2015, doi: 10.1136/BMJ.H4240
  3. D. Sapir, Y. Leitner, S. Harel, and U. Kramer, "Unprovoked seizures after complex febrile convulsions," Brain Dev., vol. 22, no. 8, pp. 484–486, 2000, doi: 10.1016/S0387-7604(00)00187-X
  4. "Febrile seizure - Symptoms, diagnosis and treatment | BMJ Best Practice." [Online]. Available: https://bestpractice.bmj.com/topics/en-gb/566. [Accessed: 16-Nov-2021]
  5. "Febrile seizure | Health topics A to Z | CKS | NICE." [Online]. Available: https://cks.nice.org.uk/topics/febrile-seizure/. [Accessed: 16-Nov-2021]

Content by Drs Brian MacCarthy, Emma Fauteux-Lamarre, the CUH Paediatric Guideline Development group and ÍOS 07/12/2021. Last review Dr ÍOS 31/08/22.