Are febrile convulsions always “real” febrile convulsions?

  Recently, we have seen many children with fever combined with convulsions in our pediatric neurology specialty. The diagnosis of febrile convulsions was clearly made at an outside hospital, and the local doctor clearly told the parents that febrile convulsions are a benign form of convulsions that get better when they are older, and no treatment or preventive medication was given. A significant number of children have a history of brain damage due to perinatal hypoxia, or even significant psychomotor retardation at the time of consultation, and the EEG suggests more or large numbers of epileptiform discharges, which are not considered febrile convulsions despite convulsions during fever, or a false febrile convulsion, but the real situation is the first epileptic The child should be given regular antiepileptic treatment as soon as possible to avoid further convulsive brain injury due to repeated convulsive seizures.  It is recommended that children with febrile convulsions go to a specialized child neurologist as soon as possible to avoid irreversible effects on the child.