All of the following factors are associated with a substantially greater risk of developing epilepsy after febrile seizures, except
Complex febrile seizures
Early age of onset
Developmental abnormalities
Positive family history of epilepsy
The most common seizures in late infancy and early childhood are febrile seizures.The overall prevalence is 3-5% and Patients often have a family history of febrile seizures or epilepsy.Febrile seizures usually occur between 3 months and 5 years of age and have a peak incidence between 18 and 24 months.The typical scenario is a child who has a generalized, tonic-clonic seizure during a febrile illness during the rising phase of the temperature curve (i.e., during the first day).A simple febrile seizure is a single, isolated event, brief, and symmetric in appearance.Complex febrile seizures are characterized by repeated seizure activity, duration >15 minutes, or by focal features.Complex febrile seizures have a risk of 2-5% of recurrenceRef: Harrison; 19th edition
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