Febrile Convulsions among Children Admitted in University of Port Harcourt Teaching Hospital, Rivers State, Nigeria

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N. Gabriel-Job
A. I. Frank-Briggs


Introduction: Febrile convulsion is defined as seizures occurring in children with fever in the absence of any brain pathology. It is usually a frightening experience for the caregivers and parents who in the bid to stop the seizure can apply harmful substances on the child before presenting to the hospital. This study seeks to determine the prevalence and pattern of febrile convulsion in the University of Port Harcourt Teaching Hospital.

Patients and Methods: Retrospective study of children admitted to the paediatrics emergency ward from October 2017 to October 2019 was carried out. Patient’s records were used to retrieve relevant information. Descriptive analysis was done, test of significance was by chi square and a p value of ≤ 0.05 was significant.

Results: 2463 children were admitted within the period, 165(6.7%) of them had febrile convulsion. (χ2=1.88, p= 0.17). The ages ranged from 6 months – 60 months with a mean age of 24.08±15.07 months. The median age at onset was 20.06±14.02 months. About 69.0% of the cases occurred within the ages of 12-36 months. A total of 156(94.6%) of the children with febrile convulsions had simple febrile convulsions while 9(5.4%) had complex febrile convulsion. One hundred and twenty two (73.9%) had a family history of febrile convulsion, of which 74(60.7%) were males and 48(39.3%) were females (χ2=7.01, p=0.008). The causes of febrile convulsion were malaria (56.4%) and URTI (30.9%). In 119(72.1%) of the cases harmful substances were administered at home before presenting to the hospital.

Conclusion: Febrile convulsion is common in children. Over half of the cases were due to Malaria; the use of multiple harmful substances during convulsive episodes is common. Malaria control and health education may reduce the prevalence and morbidity in children.

Fever, convulsion, pattern, children, substances.

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How to Cite
Gabriel-Job, N., & Frank-Briggs, A. I. (2020). Febrile Convulsions among Children Admitted in University of Port Harcourt Teaching Hospital, Rivers State, Nigeria. Asian Journal of Research and Reports in Neurology, 2(2), 1-7. Retrieved from http://journalajorrin.com/index.php/AJORRIN/article/view/30101
Original Research Article


Steering Committee on quality improvement and management subcommittee on febrile seizures, American Academy of Pediatrics. Febrile seizures: Clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics. 2008; 121:1281-1286.

Ostergaard JR. Febrile seizures. Acta Paediatr. 2009;98(5):771–3.

Paul SP, Blaikley S, Chinthapalli R. Clinicalupdate: Febrileconvulsion in childhood. Community Pract. 2012;85(7): 36–8.

Jamal MM, Ahmed W. To identify the factors affecting the risk of recurrent febrile seizures in Saudi Children. Pak Armed Forces Med J. 2015;65(4):458–63.

Berg AT, Shinnar S. Complex Febrile Seizures. Epilepsia. 1996;2:126-33.

Oka E, Ishida S, Ohtsuka Y, Ohtahara S. Neuroepidemiological study of childhood epilepsy by application of international classification of epilepsies and epileptic syndromes (ILAE, 1989). Epilepsia. 1995; 36(7):658-61.

Baldin E, Ludvigsson P, Mixa O and Hesdorffer DC. Prevalence of recurrent symptoms and their association with epilepsy and febrile seizure in school-aged children: A community-based survey in Iceland. Epilepsy Behav. 2012;23(3):315-9.

Mikati MA, Hani AJ. Febrile seizures. In kliegman RE, Stanton BF, St. Geme III JW, Schor NF (eds). Nelson Textbook of Pediatrics. 20th ed. Philadelphia: Elsevier, Inc. 2016;2829-2831.

Eseigbe EE, Adama SJ, Eseigbe P. Febrile seizures in Kaduna, north western Nigeria. Nigerian Medical Journal. 2012;53(3):140-144.

Waruiru C, Appleton R. Febrile seizures: An update. Arch Dis Child. 2004;89:751–6.

Jarrett OO, Fatunde OJ, Osinusi K, Lagunju IA. PRE-Hospital Management of Febrile Seizures in Children seen at the University College Hospital, Ibadan, Nigeria. Annals of Ibadan Postgraduate Medicine. 2012;10:2.

Syahida, JA, Risan, NA, Tarawan, VM. Knowledge and attitude on febrile seizure among mothers with under-five children. Althea Medical Journal. 2016;3(4):649-54

Udoh E, Eyong K, Okebe J, Okomo U, Meremikwu M. Treatment-seeking for convulsions in preschool children in Calabar, Nigeria. Science Journal of Public Health. 2014(2);4:293-296.

Otaigbe BE, Adesina AF. Crude oil poisoning in a 2 year old Nigerian - A case report. Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology. 2005; 6(2).
(Accessed 26th February 2020)

Dienye PO, Akani AB, Itimi K. Uses of crude oil as traditional medicine: A survey of mothers in a rural clinic in South-south Nigeria. Rural and Remote Health. 2012; 12:1858.

Onyearugha CN, Okoronkwo NC, Onyemachi PEN. Febrile seizures at a tertiary paediatric heath facility in South-East Nigeria. Acta Scientific Paediatrics. 2019;2(9):47-51.

Hasanpour Ounaji SH, Ghofrani Mohammad, Taheri Derakhsh N, Ziaei AR. Determining the risk factors of recurrent febrile seizure in children referring to Hazrat-E-Ali Asghar Childrens Hospital. Razi Journal of Medical Sciences (Journal of Iran University of Medical Sciences). 2009;16(65):46-53.

Abaskhanian A, Vahid Shahi K, Parvinnejad N. The association between iron deficiency and the first episode of febrile seizure. J Babol Univ Med Sci. 2009;11(3):32–6.

Habib Z, Akram S, Ibrahim S, Hasan B. Febrile seizures: Factors affecting risk of recurrence in Pakistani children presenting at the Aga Khan University Hospital. J Pak Med Assoc. 2003;53(1):11-7.

Sharawat IK, Singh J, Dawman L, Singh A. Evaluation of risk factors associated with first episode febrile seizure. J Clin Diagn Res. 2016;10(5):SC10–SC13.

Kariuki SM, Ikumi M, Ojal J, et al. Acute seizures attributable to falciparum malaria in an endemic area on the Kenyan coast. Brain. 2011;134:1519–1528.

Waruiru CM, Newton CR, Forster D, et al. Epileptic seizures and malaria in Kenyan children. Trans R Soc Trop Med Hyg. 1996;90:152–155.

Jones T, Jacobsen SJ. Childhood febrile seizures: Overview and implications. Int J Med Sci. 2007;4:110-114.

Tsuboi T. Genetic analysis of febrile convulsions: Twin and family studies. Hum Genet. 1987;75(1):7–14.

Hunter GA. Chemical burns of the skin after contact with petrol. British Journal of Plastic Surgery. 1968;21:373-341.