In Reply.—Livingston and his colleagues indicate several areas of disagreement with my views on febrile convulsions. Some of their arguments can only be explained by failure to read my article carefully.
I did not state that febrile convulsions cause epilepsy or suggest that treatment of febrile convulsions precludes the development of epilepsy in later years. In fact, I concluded that existing studies of temporal lobe epilepsy following febrile seizures do not bear directly on the treatment of children with brief, generalized febrile convulsions. I also did not conclude that brief, generalized febrile convulsions reflect a predisposition to febrile status epilepticus. In discussing the study of Aicardi and Chevrie,1 which is also cited by Livingston and his colleagues, I wrote that the authors did not indicate whether a brief, generalized febrile convulsion increases the risk of status epilepticus during subsequent febrile illnesses. Since status epilepticus does have a high
POLLACK MA. Continuous Phenobarbital Treatment After a 'Simple Febrile Convulsion'-Reply. Am J Dis Child. 1979;133(2):222. doi:10.1001/archpedi.1979.02130020113030
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