Does a history of febrile seizures trigger epilepsy?

Patient's question:

The baby has had a high fever that hasn't subsided for these past few days, and has been having convulsions. The doctor said it's a febrile seizure. I'm very worried it might turn into epilepsy. I consulted an expert: Can past febrile seizures trigger epilepsy?

Doctor's answer:

Febrile seizures generally have a good prognosis, with only a small percentage of patients developing epilepsy and leaving behind sequelae, which occurs at a rate of 2% to 7% of febrile seizures. However, when children with febrile seizures have risk factors, the likelihood of developing epilepsy increases.
We know that pediatric epilepsy can cause significant harm to children. If it is not treated promptly or if the treatment method is incorrect, its progression can be rapid, bringing great harm to the child. Therefore, parents should pay close attention to their child's condition and seek timely medical treatment.

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