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Symptoms of Febrile Seizures

Child experiencing a febrile seizure while lying in a hospital bed

A young girl showing visible signs of distress, illustrating the symptoms of febrile seizures in children

Symptoms of Febrile Seizures

The symptoms of febrile seizures can be alarming but are usually brief and self-limiting. Febrile seizures almost always happen in the early stages of a fever and may be the first sign that a child is unwell. Recognising the signs helps ensure a quick and calm response.

Simple Febrile Seizures

These are the most common type. They usually:

Occur once during a single fever episode

Last less than 5 minutes

Affect both sides of the body

Cause loss of consciousness and generalised shaking or stiffness

During the seizure, the child may:

Lose awareness or appear unresponsive

Stiffen their body or jerk their arms and legs rhythmically

Roll their eyes or clench their jaw

Become flushed or pale

Drool or foam at the mouth

Once the seizure ends, the child may be sleepy, irritable, or briefly confused—but they usually recover fully within 15–30 minutes.

Complex Febrile Seizures

These are less common and:

Last more than 15 minutes

Occur more than once in 24 hours

Affect only one part of the body (focal seizures)

Children with complex febrile seizures may need additional medical evaluation, including blood tests or scans, to rule out other causes.

Warning Signs Before a Seizure

Parents may notice:

Rapid fever rise, even if the child doesn’t seem very sick

Sudden irritability, tiredness, or shivering

High-pitched cry or sudden unresponsiveness just before the seizure starts

When to Seek Emergency Help

Always seek immediate medical attention if:

The seizure lasts longer than 5 minutes

The child has difficulty breathing or turns blue

The seizure happens after a head injury

The child has a stiff neck, rash, or is difficult to wake after the seizure

It is the child’s first seizure

These signs may suggest something more serious, such as meningitis or epilepsy, and require urgent care.

Symptoms of Febrile Seizures

Recognising the symptoms of febrile seizures ensures parents stay alert and respond calmly. While the event can be distressing, reassurance, observation, and follow-up are usually all that’s required after a simple febrile episode.

[Next: Diagnosis of Febrile Seizures→]

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