| المستخلص: |
Objective :-The aim of study is to find out the relationship of family history to the type of febrile seizures, age of presentation of either first or subsequent attacks and also to study the risk factors (predictors) of febrile seizures. - Settings: A retrospective descriptive study, carried out in pediatric department at misurata teaching hospital during period between 1.1.2008 to 31.12.2009 {24 months). Results: • out of 130 cases of febrile seizures 54.6% were males and 45.4% were females • The highest incidence of febrile seizures was between the age of 1-3 years 46.5%. • Febrile seizures were complex in 33.8% of all patients, 34.1% of them were below 12 months of age. • There were positive family history in 26.2% of all patients and 41.2% of them were complex febrile seizures. • 30% of patients experienced one or more attacks (recurrence), 43.6% of them were below 12 months of age and 53.8% had positive family history. Other risk factors of recurrence like low grade fever, short duration between fever and the onset of the attack and developmental delay (neurological disorder) not included in this study. Conclusion: • Majority of febrile seizures occur in early life with peak incidence at the age of 18-24 months and there after the incidence decline gradually. • Complex febrile seizures present in about one third of patient, About 30% of them occurred in children less than 12 months of age. • In children with positive family history of febrile seizures, the first attack occur at an early age and 40% of them had complex fits. • A positive family history of febrile seizures is associated with decreased risk of complex attacks.
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