Fever, seizures and encephalopathy: From bush fires to firestorms

Fever-associated seizures and febrile encephalopathy are common neurological problems in children. Infections of the nervous system are responsible for the majority of cases. However, there is a spectrum of infection-associated and inflammatory conditions associated with the triad of fever, seizures...

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Main Authors: Prabhjot Kaur, Suvasini Sharma, Ramesh Konanki, Asuri N Prasad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2022;volume=25;issue=4;spage=587;epage=600;aulast=Kaur
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author Prabhjot Kaur
Suvasini Sharma
Ramesh Konanki
Asuri N Prasad
author_facet Prabhjot Kaur
Suvasini Sharma
Ramesh Konanki
Asuri N Prasad
author_sort Prabhjot Kaur
collection DOAJ
description Fever-associated seizures and febrile encephalopathy are common neurological problems in children. Infections of the nervous system are responsible for the majority of cases. However, there is a spectrum of infection-associated and inflammatory conditions associated with the triad of fever, seizures, and encephalopathy. Apart from complex febrile seizures and febrile status epilepticus, fever infection-related epilepsy syndrome of childhood (FIRES), infantile hemiconvulsion hemiplegia epilepsy syndrome (IHHE), acute encephalopathy with delayed diffusion restriction (AESD), acute necrotizing encephalopathy of childhood (ANE), and reversible splenial lesion syndrome (RESLES) are age-related clinical phenotypes of fever-related epilepsy and encephalopathy. Awareness of these entities is important for appropriate diagnosis and the prompt use of immunomodulatory/immunosuppressive therapies. In this review, we discuss the pathophysiology, clinical phenotypes, and management approaches of these fever-related seizure and encephalopathy states.
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spelling doaj.art-62ec0a6ad7ca4b1fafb3ef3c0cde78d92022-12-22T04:12:28ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492022-01-0125458760010.4103/aian.aian_12_22Fever, seizures and encephalopathy: From bush fires to firestormsPrabhjot KaurSuvasini SharmaRamesh KonankiAsuri N PrasadFever-associated seizures and febrile encephalopathy are common neurological problems in children. Infections of the nervous system are responsible for the majority of cases. However, there is a spectrum of infection-associated and inflammatory conditions associated with the triad of fever, seizures, and encephalopathy. Apart from complex febrile seizures and febrile status epilepticus, fever infection-related epilepsy syndrome of childhood (FIRES), infantile hemiconvulsion hemiplegia epilepsy syndrome (IHHE), acute encephalopathy with delayed diffusion restriction (AESD), acute necrotizing encephalopathy of childhood (ANE), and reversible splenial lesion syndrome (RESLES) are age-related clinical phenotypes of fever-related epilepsy and encephalopathy. Awareness of these entities is important for appropriate diagnosis and the prompt use of immunomodulatory/immunosuppressive therapies. In this review, we discuss the pathophysiology, clinical phenotypes, and management approaches of these fever-related seizure and encephalopathy states.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2022;volume=25;issue=4;spage=587;epage=600;aulast=Kauracute encephalopathy with delayed diffusion restriction (aesd)acute encephalopathy with repetitive refractory partial seizures (aerrps)acute necrotizing encephalopathy of childhood (ane)devastating epileptic encephalopathy in school-aged children (desc)encephalopathyepilepsyfebrile seizuresfebrile status epilepticusfeverfever infection-related epilepsy syndrome of childhood (fires)infantile hemiconvulsion hemiplegia epilepsy syndrome (ihhe)reversible splenial lesion syndrome (resles)
spellingShingle Prabhjot Kaur
Suvasini Sharma
Ramesh Konanki
Asuri N Prasad
Fever, seizures and encephalopathy: From bush fires to firestorms
Annals of Indian Academy of Neurology
acute encephalopathy with delayed diffusion restriction (aesd)
acute encephalopathy with repetitive refractory partial seizures (aerrps)
acute necrotizing encephalopathy of childhood (ane)
devastating epileptic encephalopathy in school-aged children (desc)
encephalopathy
epilepsy
febrile seizures
febrile status epilepticus
fever
fever infection-related epilepsy syndrome of childhood (fires)
infantile hemiconvulsion hemiplegia epilepsy syndrome (ihhe)
reversible splenial lesion syndrome (resles)
title Fever, seizures and encephalopathy: From bush fires to firestorms
title_full Fever, seizures and encephalopathy: From bush fires to firestorms
title_fullStr Fever, seizures and encephalopathy: From bush fires to firestorms
title_full_unstemmed Fever, seizures and encephalopathy: From bush fires to firestorms
title_short Fever, seizures and encephalopathy: From bush fires to firestorms
title_sort fever seizures and encephalopathy from bush fires to firestorms
topic acute encephalopathy with delayed diffusion restriction (aesd)
acute encephalopathy with repetitive refractory partial seizures (aerrps)
acute necrotizing encephalopathy of childhood (ane)
devastating epileptic encephalopathy in school-aged children (desc)
encephalopathy
epilepsy
febrile seizures
febrile status epilepticus
fever
fever infection-related epilepsy syndrome of childhood (fires)
infantile hemiconvulsion hemiplegia epilepsy syndrome (ihhe)
reversible splenial lesion syndrome (resles)
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2022;volume=25;issue=4;spage=587;epage=600;aulast=Kaur
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AT suvasinisharma feverseizuresandencephalopathyfrombushfirestofirestorms
AT rameshkonanki feverseizuresandencephalopathyfrombushfirestofirestorms
AT asurinprasad feverseizuresandencephalopathyfrombushfirestofirestorms