What are the differences between high fever convulsions and epilepsy?

Patient's question:

My niece fainted last night. She also had convulsions. My brother went to work, and my sister-in-law, who was at home, didn't keep a close eye on the child. The child had a fever, but she didn't even know. Later, the fever got so high that the child had convulsions. When I came home, it scared me. I thought the child was having a seizure—after all, I've heard of epilepsy—but I didn't know that fever could also cause convulsions.

Doctor's answer:

Medical Analysis: The child has a fever and has even experienced convulsions. Fever-induced convulsions and epilepsy are two different diseases with distinct causes, symptoms, and prognoses. Your child's symptoms are likely to be convulsions.
Advice: Hello! It is recommended to conduct an EEG within 2 weeks of a high fever convulsion. If abnormalities are found, it does not necessarily indicate an abnormal condition. Therefore, it is advisable to wait for 2 weeks after the fever subsides before performing an electroencephalogram. If the EEG shows sharp waves, sharp-slow waves, (spikes), (sharp-slow waves), or other epileptic discharge phenomena, these are considered abnormal and may indicate complex high fever convulsions, which could potentially evolve into epilepsy.

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