Afebrile Febrile Convulsions are known to occur in children with rotavirus gastroenteritis, with no electrolyte abnormality and no hypoglycaemia. The incidence varies from 2-6% in the literature (JChild Neurol, 2001) and although the exact aetiology is unknown it is thought that it may occur from a mild encephalitis from direct viral infection or enterotoxin.
It usually occurs in the first 3 days of the illness, but can occur at any time, the seizures are generalised and there may be more than one seizure. These patient will have a normal CSF if afebrile and look well, and although they may have an abnormal EEG initially, this normalises and they usually have a benign course.
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