Febrile convulsions
ICD-10 R56.0 is a billable code used to indicate a diagnosis of febrile convulsions.
Febrile convulsions are seizures that occur in young children, typically between the ages of 6 months and 5 years, triggered by fever. These seizures are generally brief, lasting less than 15 minutes, and can be either generalized or focal. The fever associated with febrile convulsions is often due to viral infections, such as influenza or roseola, but can also be caused by bacterial infections. The clinical presentation includes loss of consciousness, muscle rigidity, and jerking movements. Importantly, febrile convulsions are usually benign and do not lead to long-term neurological damage. However, they can be distressing for parents and caregivers. Diagnosis is primarily clinical, based on the history of fever and seizure activity, and may be supported by laboratory tests to rule out other causes of seizures. It is crucial to differentiate febrile convulsions from other seizure types, particularly in cases where the child has a history of epilepsy or if the seizure occurs without a fever.
Detailed history of fever, seizure duration, and any prior seizure history.
Patients presenting with fever and seizure activity in outpatient settings.
Consideration of underlying infections and the need for further neurological evaluation.
Acute assessment of the patient, including vital signs, seizure characteristics, and immediate interventions.
Children brought to the emergency department with seizures and fever.
Rapid assessment to rule out serious conditions such as meningitis or intracranial hemorrhage.
Used when a child presents with febrile convulsions in the emergency department.
Document the severity of the condition, vital signs, and any interventions performed.
Emergency medicine providers should ensure thorough documentation of the patient's clinical status.
Febrile convulsions most commonly affect children between the ages of 6 months and 5 years.
No, febrile convulsions are typically benign and do not indicate an increased risk of developing epilepsy later in life.
