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Fieberkrämpfe bei Erwachsenen?

Febrile seizures in adult patients?

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Zusammenfassung

Fieberkrämpfe sind in aller Regel Gelegenheitsanfälle in der Kindheit mit einem eher engen Zeitfenster, in dem sie auftreten können. Die Beziehungen der Fieberkrämpfe zu bestimmten Syndromen [Temporallappenepilepsien, „generalized epilepsy with febrile seizures plus“ (GEFS+)] hat sie zu einer pathophysiologisch interessanten und eigenen Anfallsform gemacht. Der vorliegende Beitrag versucht zu klären, inwiefern Fieberkrämpfe auch im Erwachsenenalter möglich sind. Zusammenfassend kann aus der Analyse der publizierten Familien mit GEFS+-Syndrom rückgefolgert werden, dass es wohl einzelne Erwachsene gibt, bei denen solche Anfälle bei Fieber persistieren können. Unklar bleibt aber, inwiefern der Zusammenhang bei Erwachsenen zum Fieber wirklich eindeutig ist, da es sich bei der Angabe von Fieberkrämpfen meist um nicht sehr detaillierte Angaben von Angehörigen handelt. Eine eigene Entität von Fieberkrämpfen im Erwachsenenalter ist nicht zu vermuten.

Abstract

Febrile seizures are, in general, occasional seizures that can occur in childhood during a rather narrow time frame. The relationship of febrile seizures to other epileptic syndromes [temporal lobe epilepsy, generalized epilepsy with febrile seizures plus (GEFS+)] has made these a very interesting topic. This article attempts to clarify whether febrile seizures can also occur in adulthood. It can be concluded from the analysis of published reports on families with GEFS+ syndrome that single cases of febrile seizures may persist into adulthood. However, it remains unclear what the relationship of fever and seizures is in the average adult, because most of the cases are nondetailed reports from relatives. Febrile seizures in adulthood do not seem to form a separate entity.

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  1. Sächsisches Epilepsiezentrum Radeberg, Wachauerstr. 30, 01454, Radeberg, Deutschland

    T. Mayer

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Mayer, T. Fieberkrämpfe bei Erwachsenen?. Z. Epileptol. 22, 252–255 (2009). https://doi.org/10.1007/s10309-009-0069-2

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  • DOI: https://doi.org/10.1007/s10309-009-0069-2

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