NEUROLOGY 1979;29:297
© 1979 American Academy of Neurology
The risk of epilepsy following febrile convulsions
John F. Annegers, Ph.D.,
W. Allen Hauser, M.D.,
Lila R. Elveback, Ph.D. and
Leonard T. Kurland, M.D.
Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
A cohort of 666 children who had convulsions with fever were followed to determine the risks of subsequent epilepsy High risks were found in children with preexisting cerebral palsy or mental retardation. Other major risk factors were atypical features of the febrile convulsions (such as focal seizures) and duration of febrile seizures for 10 minutes or more. The risk of developing epilepsy by age 20 was about 6 percent for all children who had experienced febrile convulsions. However, this risk figure consisted of a combination of 2.5 percent of children without prior neurologic disorder or atypical or prolonged seizures, and 17 percent of those with such complications.
Requests for reprints should be sent to Dr. J. F. Annegers, Section of Medical Statistics, Mayo Clinic, 200 First Street SW, Rochester, MN 55901.
Accepted for publication June 15, 1978.
Supported in part by Research Grant N552327E.
This article has been cited by other articles:

|
 |

|
 |
 
B. E. Porter, A. R. Judkins, R. R. Clancy, A. Duhaime, D. J. Dlugos, and J. A. Golden
Dysplasia: A common finding in intractable pediatric temporal lobe epilepsy
Neurology,
August 12, 2003;
61(3):
365 - 368.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. F. Drazkowski
Management of the Social Consequences of Seizures
Mayo Clin. Proc.,
May 1, 2003;
78(5):
641 - 649.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Tarkka, E. Paakko, J. Pyhtinen, M. Uhari, and H. Rantala
Febrile seizures and mesial temporal sclerosis: No association in a long-term follow-up study
Neurology,
January 28, 2003;
60(2):
215 - 218.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Nabbout, J.-F. Prud'homme, A. Herman, J. Feingold, A. Brice, O. Dulac, and E. LeGuern
A locus for simple pure febrile seizures maps to chromosome 6q22-q24
Brain,
December 1, 2002;
125(12):
2668 - 2680.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Verrotti, T. Giuva, R. Cutarella, G. Morgese, and F. Chiarelli
Febrile Convulsions After 5 Years of Age: Long-Term Follow-Up
J Child Neurol,
December 1, 2000;
15(12):
811 - 813.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. T. Berg, S. Shinnar, S. R. Levy, and F. M. Testa
Childhood-onset epilepsy with and without preceding febrile seizures
Neurology,
November 1, 1999;
53(8):
1742 - 1742.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
R. J. Baumann
Technical Report: Treatment of the Child With Simple Febrile Seizures
Pediatrics,
June 1, 1999;
103(6):
86e - 86.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
K. Kanemoto, N. Takuji, J. Kawasaki, and I. Kawai
Characteristics and treatment of temporal lobe epilepsy with a history of complicated febrile convulsion
J. Neurol. Neurosurg. Psychiatry,
February 1, 1998;
64(2):
245 - 248.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. M Verity
Do seizures damage the brain? The epidemiological evidence
Arch. Dis. Child.,
January 1, 1998;
78(1):
78 - 84.
[Full Text]
|
 |
|

|
 |

|
 |
 
G.L. Holmes and M.P. Frosch
Case 7-1996- An eight-year-old boy with intractable seizures
N. Engl. J. Med.,
February 29, 1996;
334(9):
586 - 593.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. R. Farwell, G. Blackner, S. Sulzbacher, L. Adelman, and M. Voeller
First Febrile Seizures: Characteristics of the Child, the Seizure, and the Illness
Clinical Pediatrics,
May 1, 1994;
33(5):
263 - 267.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. H. Lim, N. K. So, H. Luders, H. H. Morris, and J. Turnbull
Etiologic Factors for Unitemporal vs Bitemporal Epileptiform Discharges
Arch Neurol,
December 1, 1991;
48(12):
1225 - 1228.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
D. W. Dunn
Status Epilepticus in Children: Etiology, Clinical Features, and Outcome
J Child Neurol,
July 1, 1988;
3(3):
167 - 173.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. T. Jennings and T. D. Bird
Genetic Influences in the Epilepsies: Review of the Literature With Practical Implications
Arch Pediatr Adolesc Med,
May 1, 1981;
135(5):
450 - 457.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. H. Ellenberg and K. B. Nelson
Sample Selection and the Natural History of Disease: Studies of Febrile Seizures
JAMA,
April 4, 1980;
243(13):
1337 - 1340.
[Abstract]
[PDF]
|
 |
|
|