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'Simple Febrile Convulsion'

'Simple Febrile Convulsion' Abstract Sir.—In this present era of frequent excessive laboratory procedures and overtreatment, it is indeed comforting to have Dr Gellis in his article in the Journal (132:87-89,1978) favoring the right of the individual pediatrician to decide his own course of therapy in the controversial phenobarbital treatment after a "simple febrile convulsion." Dr Pollack in the same article advises that continuous treatment is indicated after the first febrile seizure. Dr Livingston1.2 does not recommend treating febrile seizures prophylactically. He had found that febrile convulsions do not occur more than four times a year. Beginning continuous treatment after the second seizure, or if the child has an abnormal history, or the findings Dr Gellis enumerates, is indicated. Dr Pollack's study shows that 50% of the pediatricians recommend phenobarbital administration with the onset of febrile illness. I emphasize beginning phenobarbital whenever there is a suspicion of illness, rather than waiting until a References 1. Livingston S: The Diagnosis and Treatment of Convulsive Disorders in Children . Springfield, Ill, Charles C Thomas Publisher, 1954, pp 76-80. 2. Livingston S: Convulsive disorders in infants and children . Adv Pediatr 10:114-119, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120320084028
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—In this present era of frequent excessive laboratory procedures and overtreatment, it is indeed comforting to have Dr Gellis in his article in the Journal (132:87-89,1978) favoring the right of the individual pediatrician to decide his own course of therapy in the controversial phenobarbital treatment after a "simple febrile convulsion." Dr Pollack in the same article advises that continuous treatment is indicated after the first febrile seizure. Dr Livingston1.2 does not recommend treating febrile seizures prophylactically. He had found that febrile convulsions do not occur more than four times a year. Beginning continuous treatment after the second seizure, or if the child has an abnormal history, or the findings Dr Gellis enumerates, is indicated. Dr Pollack's study shows that 50% of the pediatricians recommend phenobarbital administration with the onset of febrile illness. I emphasize beginning phenobarbital whenever there is a suspicion of illness, rather than waiting until a References 1. Livingston S: The Diagnosis and Treatment of Convulsive Disorders in Children . Springfield, Ill, Charles C Thomas Publisher, 1954, pp 76-80. 2. Livingston S: Convulsive disorders in infants and children . Adv Pediatr 10:114-119, 1959.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jul 1, 1978

References