How long can pediatric convulsions without seizures exclude epilepsy, the clinical is inconclusive, it is recommended to improve the relevant examination to clarify the diagnosis. Pediatric convulsions are mostly due to fever, while epilepsy has more triggering factors, such as fatigue and lack of sleep, which may lead to it. If there is no high fever before the convulsive seizure, the possibility of epilepsy needs to be considered. In case of febrile convulsions in pediatric patients, observation is needed when the primary disease disappears, and epilepsy can be excluded if the convulsions do not occur again, but there are no clear clinical statistics on the observation time. It is recommended that parents take their children to the pediatric neurology department in a timely manner to improve the EEG and other related tests to determine this, and the EEG is an auxiliary diagnostic criterion to distinguish febrile convulsions from epilepsy. Since children are prone to convulsions due to their young age and imperfect development of brain function, parents need to pay attention to their children’s health, especially when fever occurs, they should promptly treat the symptoms, and can choose physical methods to cool down; if there is a persistent high fever, they need to promptly seek medical attention to avoid causing febrile convulsions.