Patient's question:
Children with a history of high fever seizures will they recover on their own when they grow up?Doctor's answer:
Febrile seizures are the most common cause or etiology of seizures in children. The pathogenesis is not yet clear, possibly related to the immaturity of the infant's brain development, poor analytical and inhibitory abilities, where even a weak stimulus can cause intense brain excitement and spread, leading to neuronal discharge and resulting in seizures. Febrile seizures typically occur in children aged 6 months to 3 years and are rare after age 6. They are often triggered by a sudden rise in body temperature during upper respiratory infections. Seizures are usually generalized, occur infrequently, last a short duration, and recover quickly, rarely exceeding 15 minutes. Consciousness recovers rapidly, without accompanying neurological personality changes, and the prognosis is generally good. However, children with seizures are prone to recurrence, with about one-third of patients experiencing recurrence. Therefore, it is important to control body temperature and prevent recurrence during subsequent illnesses. While cases of febrile seizures leading to epilepsy or intellectual disability have been reported, these are extremely rare and the causal relationship cannot be definitively established. Thus, the prognosis remains good, with no lasting sequelae. Therefore, it is advisable to control the occurrence or recurrence of febrile seizures in children before the age of 6.