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Neurodevelopmental problems should be considered in children with febrile seizures
Author(s) -
Nilsson Gill,
Westerlund Joakim,
Fernell Elisabeth,
Billstedt Eva,
Miniscalco Carmela,
Arvidsson Thomas,
Olsson Ingrid,
Gillberg Christopher
Publication year - 2019
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14716
Subject(s) - medicine , pediatrics , population , cognition , wechsler adult intelligence scale , strengths and difficulties questionnaire , health professionals , febrile seizure , wechsler preschool and primary scale of intelligence , febrile convulsions , wechsler intelligence scale for children , psychiatry , epilepsy , health care , mental health , environmental health , economics , economic growth
Aim Clinical developmental phenotyping of four‐ to five‐year‐old children with febrile seizures ( FS s). Methods Children with FS (n = 157, corresponding to 3.7% of the targeted general population of four‐five‐year‐olds) had been identified at child healthcare centres in Gothenburg. Parents of 73 children (41 boys, 32 girls) accepted participation in the present study. The assessments included a neuropaediatric assessment, Movement ABC , Wechsler Preschool and Primary Scale of Intelligence‐ III and parent questionnaires (Five‐to‐Fifteen ( FTF ) and Strengths and Difficulties Questionnaire ( SDQ )). Hospital records were reviewed, when applicable. Results One‐third of the children had at least one DSM ‐5 neurodevelopmental disorder diagnosis or marked developmental problems within areas of attention, activity regulation, behaviour, speech and language, general cognition or motor functioning. No differences were found between children with single vs recurrent or simple vs complex FS . Conclusion Febrile seizure are relatively often associated with Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations ( ESSENCE s). We found no indications that ESSENCE might be caused by FS per se. However, the results suggest that child healthcare professionals should consider the possibility of ESSENCE in children with a history of FS .