3. FEBRILE SEIZURE/ SPASM - Description of febrile spasms suffered by our child

Observed and recorded by webmaster, 26.03.95

Boy: born 18.12.91, 17 kg

09.30: 39.5°C/103.1°F, 250 mg paracetamol suppositories against the fever

12.00: 38.3°C/100.9°F

13.15: End of lunch (had not eaten very much) and preparation for afternoon nap, strong shivering fit during undressing

13.25: 39.5°C/103.1°F measurement not finished; 1/2 suppository Faustan (1/2*10mg)

13.30: One small twitch as temperature was being taken (tic),

after this, a fixed stare, febrile spasm!

4 min, white face; blue lips; non-responsive;

eyes and mouth half open;

hands slightly clenched

Reaction to finger being pressed under the nose:

- pupils moved approx. 3mm upwards

- very little movement below the chin

 during a spasm

13.35: 40°C/104°F mumbled when spoken to, afterwards shivering fit

13.40: Clicking his tongue, eyes closed, pupils large when eyelids were lifted up; no reaction when spoken to; heard apparent but calm speech

 

13.45: 5 mg Diazepam from a tube rectally applied after telephoning family doctor.

 

14.00: 39.9°C/103.8°F

 

14.15: 40.3°C/104.5°F; preparation for transport to hospital, Dresden Neustadt

 

14.30: 40°C/104°F 250 mg Eufipron suppositories (in hospital)

 

15.30: 38,8°C/101.8°F

 

Background:

- 3 cousins at that time with viral infection and high fever

- grandparents viral infection without a cold (grandmother: 39°C/102.2°F; grandfather: 40°C/104°F)

- brother 10 spasms between the age of 1 and 6; now 8 years old

- parents both suffered from febrile spasms (Mother: 2; father approx. 5)

History:

- Jan/Feb 1^st febrile spasm questionable

• 1992 2^nd febrile spasm

• - June 1993 3^rd febrile spasm + suspected meningitis; 9^th-16^th June inpatient treatment at hospital.

Environment: pharmacological factory in immediate vicinity (chimney)

Temperature increase: 1.7°C/35°F within 1 1/5 hours

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Last updated: 09.09.2005; webmaster