Fieberkrämpfe

Diagnostik, Therapie und Beratung

Febrile seizures

Investigation, therapy and counseling

Zusammenfassung

Der Fieberkrampf ist das häufigste klinisch-neurologische Symptom, das zu einer akuten Vorstellung beim Kinderarzt oder in einer Notfallambulanz führt. Er tritt bei etwa 2–5 % aller Kinder zwischen dem 6. Lebensmonat und dem 5. Lebensjahr auf. In der Mehrzahl der Fälle handelt es sich um selbstlimitierende Ereignisse ohne Langzeitfolgen oder Komplikationen. Bei einem geringeren Teil der Patienten ist eine umfangreiche neurologische Diagnostik notwendig. Eines der wichtigsten Elemente der Therapie ist die Beratung der Eltern.

Abstract

Febrile seizures are the most common neurological condition in childhood leading to an acute presentation to a pediatrician or consultation in an emergency department. The risk of a febrile seizure is estimated to be approximately 2–5 % in children 6–60 months of age. In the majority of cases the seizures are self-limiting and cease without medical intervention. The disorder is age limited and does not lead to neurological long-term sequelae but a small proportion of patients require a thorough neurological diagnostic evaluation. A comprehensive counseling of the parents is mandatory in children with febrile seizures.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. I. Borggräfe hat Honorarvorträge für die Firmen Desitin und Viropharm gehalten. F. Heinen und L. Gerstl geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Correspondence to PD Dr. I. Borggräfe.

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Borggräfe, I., Heinen, F. & Gerstl, L. Fieberkrämpfe. Monatsschr Kinderheilkd 161, 953–962 (2013). https://doi.org/10.1007/s00112-013-2991-7

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Schlüsselwörter

  • Fieberkrampf
  • Kinder
  • Neurologie
  • Eltern
  • Beratung

Keywords

  • Febrile seizure
  • Children
  • Neurology
  • Parents
  • Counseling