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Journal of Child Neurology
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Febrile Convulsions After 5 Years of Age: Long-Term Follow-Up

Alberto Verrotti, MD, PhD

Department of Medicine, Division of Pediatrics, University of Chieti Chieti, Italy

Tiziana Giuva, MD

Department of Medicine, Division of Pediatrics, University of Chieti Chieti, Italy

Rocco Cutarella, MD

Division of Neurology, S. Valentino Hospital Italy

Guido Morgese, MD

Department of Pediatrics, University of Siena Siena, Italy

Francesco Chiarelli, MD

Department of Medicine, Division of Pediatrics, University of Chieti Chieti, Italy, chiarelli{at}unich.it

In order to examine the natural history of febrile convulsions occurring after 5 years of age, we studied 44 children in whom febrile convulsions persisted after 5 years of age (group 1) and compared their development of unprovoked seizures with a group of 195 children in whom febrile convulsions occurred before 5 years of age (group 2). All subjects of group 1 were re-evaluated at the mean age of 13.4 ± 1.7 years. The children in group 2 were followed up until they reached the same mean age as children in group 1 (13.1 ± 2.3 years). In group 1, we found a higher percentage of unprovoked seizures than in children with febrile convulsions with onset before 5 years of age (18.1% vs 7.4%, P < .05). Our data suggest that children with febrile convulsions after 5 years of age probably must be considered as a group of patients at risk of developing unprovoked seizures. (J Child Neurol 2000;15:811-813).

Journal of Child Neurology, Vol. 15, No. 12, 811-813 (2000)
DOI: 10.1177/088307380001501209
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