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Archives de pédiatrie
Volume 14, n° 4
pages 394-398 (avril 2007)
Doi : 10.1016/j.arcped.2007.02.005
Convulsions hyperthermiques
Febrile seizures
 

L. Pedespan
Urgences pédiatriques médicochirurgicales, CHU de Bordeaux, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France 

Résumé

Les convulsions fébriles (CF) de l'enfant sont fréquentes. Leur prise en charge repose sur l'analyse rigoureuse de leurs caractéristiques, l'évaluation clinique du patient ainsi que sur le recueil des antécédents familiaux. Dans le cas de CF « simples », le pronostic, toujours favorable, allège les indications de bilan ou de traitement, y compris au titre d'éventuelles récidives. La possibilité d'une infection du système nerveux central doit cependant toujours être écartée. Dans le cas de CF « compliquées », le risque plus important d'une épilepsie ultérieure rend souvent nécessaire des explorations complémentaires, ainsi qu'un traitement de fond. Des prédispositions génétiques ont été mises en évidence. Dans le cas d'un pronostic favorable, le contraste est toujours grand entre la bénignité des CF et le vécu dramatique des parents. Il doit être pris en compte dans l'évaluation et le choix de l'attitude thérapeutique.

The full text of this article is available in PDF format.
Abstract

The febrile seizures (FS) of the child are frequent. Their management is essentially based on the rigorous analysis of their characteristics, the clinical evaluation of the patient like on the collection of the family antecedents. In the case of “simple” FS, the forecast, always favourable, reduce the indications of assessment or treatment, including under possible repetitions. The possibility of an infection of the central nervous system must however always be isolated. In the case of “complicated” FS, the more important risk of later epilepsy makes often necessary of complementary explorations, as well as a treatment. Genetic predispositions were highlighted. In the case of a favourable forecast, contrast always large between the benignity of the FS and the parental dramatic experience. It must be taken into account in the evaluation and the choice of the therapeutic attitude.

The full text of this article is available in PDF format.

Mots clés : Convulsion, Fièvre, Enfant, Épilepsie

Keywords : Seizure, Fever, Child, Epilepsy




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