RT Journal Article SR Electronic T1 Febrile convulsions JF Drug and Therapeutics Bulletin JO Drug Ther Bull FD BMJ Publishing Group Ltd SP 101 OP 102 DO 10.1136/dtb.3.26.101 VO 3 IS 26 YR 1965 UL http://dtb.bmj.com/content/3/26/101.abstract AB DIAGNOSIS - There is much confusion about the diagnosis of febrile convulsions It is important to distinguish them from idiopathic epilepsy, because the management and prognosis are different. Febrile convulsions should only be diagnosed on rigid criteria:1The fits occur only in children under five years old, and rarely in the first six months.They occur only as a result of a rise of temperature. If the child was not off colour for a few hours before the fit occurred, the fit was almost certainly not a ‘febrile convulsion’. A febrile fit usually occurs within 12 hours or less of the onset of an infection.The fits do not last more than 5 or 10 minutes.The fits are not focal.