Pediatrics in Review
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(Pediatrics in Review. 1986;8:185-190.)
© 1986 American Academy of Pediatrics
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Management of Nonfebrile Seizures

Eileen P. G. Vining MD1
John M. Freeman MD2
 1 Assistant Professor of Neurology and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore
2 Professor of Neurology and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore

Single, nonfebrile seizures are not epilepsy, and although they often cause a major psychic trauma to the family they do not necessarily require hospitalization, CT scanning, or extensive workup. Anticonvulsant treatment is not obligatory and should, if used, be individualized. Only 30% of tonic-clonic seizures will recur, and most children who do require therapy can have it discontinued after 2 years.




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D. Hirtz, S. Ashwal, A. Berg, D. Bettis, C. Camfield, P. Camfield, P. Crumrine, R. Elterman, S. Schneider, and S. Shinnar
Practice parameter: Evaluating a first nonfebrile seizure in children: Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society
Neurology, September 12, 2000; 55(5): 616 - 623.
[Abstract] [Full Text] [PDF]


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