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Febrile seizures: The Alex

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What is a febrile seizure?

Febrile means having a fever and seizure is another word used to describe a fit or convulsion. A febrile seizure is when your child has a fit when they have a fever. Febrile seizures do not hurt your child and do not cause brain damage.

What causes febrile seizures?

In some children, a fever of 38ºC and over can trigger a seizure. The fever is usually caused by common infections like a cold, flu or tonsillitis. However your child may need to be seen by a health care professional to make sure they don’t have a serious illness.

How common are febrile seizures?

They are quite common. They occur in 1 in every 25 children between the ages of 6 months and 6 years.

You may find that there is a close family member who suffered with febrile seizures as a child too. However febrile seizures are not directly passed down through the family.

What do febrile seizures look like?

You may notice that

  • Your child is unresponsive.
  • Your child goes stiff.
  • They jerk or twitch their arms or legs.
  • Their eyes roll back in their head.

  After the seizure your child may want to sleep for an hour or so. They will not remember the seizure.

What shall I do if my child has a febrile seizure?

Febrile seizures can be extremely frightening to witness. The most important thing to do is to stay with your child and put them in the recovery position.

A video on how to do this can be found on the NHS Choices website.

If you get a chance, try to note a start time for the seizure. Make sure you clear the area around your child so they don’t hurt themselves, and do not put anything in their mouth.

Call 999 if

  • The seizure lasts 5 minutes or more.
  • Your child stops breathing or has difficulty breathing at any time.

If the seizure stops itself in less than 5 minutes, speak with 111 or visit your GP to make sure that there are no concerns about a more serious infection.

My child has had one febrile seizure. Will they have another one?

One third of children who have had a febrile seizure will have another one in their childhood. It is unlikely to happen again during the same illness.

There is no medicine to prevent them from happening.

You may want to give your child Paracetamol or Ibuprofen when they have a fever. There is no proof that these medicines will stop a seizure but it can keep your child more comfortable.

Does this mean my child has epilepsy?

No. Febrile seizures only happen when your child is ill with a temperature.

Epilepsy causes seizures even without a high temperature.

The majority of children who have febrile convulsions do not go on to develop epilepsy.

Useful numbers

Practice Plus (Brighton walk-in centre and GP service).
 0333 321 0946
Open every day from 8am to 8pm, including bank holidays.

For out of hours GP service or advice ring NHS 111

Royal Alexandra Children’s Hospital Children’s Emergency Department
Telephone: 01273 696955 extension 62593

Please be aware that CED staff will not be able to give you medical advice for your child over the phone but can direct you to an appropriate service to assist with your enquiry.

This leaflet is intended for patients receiving care in Brighton & Hove or Haywards Heath.

The information in this leaflet is for guidance purposes only and is in no way intended to replace professional clinical advice by a qualified practitioner.

Publication Date: June 2022

Review Date: March 2025

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