Is the child epileptic or not? The diagnostic elements of epilepsy are: recurrent convulsive seizures without obvious triggers, in a stereotyped form, sudden and abrupt, with a good general condition in the inter-seizure period, possible epileptiform wave changes in the EEG, and exclusion of convulsions caused by other diseases. On the other hand, this child had fever triggers before convulsions, and the medical history was not free of febrile convulsions. Although he had 4 convulsions in 2 years, and even one of them lasted about half an hour, the multiple seizures and the long duration of the seizures were not the basis for the diagnosis of epilepsy, and the electroencephalogram did not show any typical changes, so the child was still a victim of febrile convulsions, but this child was special. However, this child has some special features: (1) two convulsions during the course of a fever, and (2) one of the convulsions lasted for about half an hour, which makes the diagnosis of “complex febrile convulsions, convulsive persistent state” reasonable at present. Do febrile convulsions require treatment? Febrile convulsions are age-dependent and most common in children between the ages of 6 months and 6 years old. Children over the age of 6 years old rarely have febrile convulsions as their brain and nerves mature, so generally speaking, febrile convulsions don’t need to be treated, and the main focus should be on treating the primary cause of the fever, such as respiratory infections, etc. However, in the following special cases of complex febrile convulsions, the diagnosis is reasonable. However, for complex febrile convulsions with the following special circumstances, it is recommended to give oral intervention with antiepileptic drugs: 1, the existence of convulsive persistent state: a convulsive duration greater than or equal to 30 minutes, or two convulsive seizures between the period of the child is not conscious, before and after the consecutive time of up to half an hour; 2, seizures are very frequent: convulsive seizures are greater than or equal to three times in six months, or greater than or equal to four times in a year. For the above two special children with febrile convulsions, doctors mostly recommend giving antiepileptic long-term regular oral medication. Therefore, although the child is not diagnosed with epilepsy, it is still recommended to add antiepileptic medication because of the presence of convulsive persistence, which is a potentially life-threatening condition that needs to be actively prevented. Some scholars also suggest that short-course valium prophylaxis can be considered for children with febrile convulsions who have the following conditions. 1, the age of the first occurrence of febrile convulsions is less than 15 months or first-degree relatives have a history of febrile convulsions or epilepsy; 2, for children with recurrent febrile convulsions. The risk of having another seizure after a first febrile convulsion is only 30-40%, so short-course Valium prophylaxis is mostly used for convulsion prophylaxis in children with recurrent seizures.