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February 1979

Continuous Phenobarbital Treatment After a 'Simple Febrile Convulsion'-Reply

Author Affiliations

Division of Pediatric Neurology Montefiore Hospital and Medical Center 111 E 210th St Bronx, NY 10467

Am J Dis Child. 1979;133(2):222. doi:10.1001/archpedi.1979.02130020113030

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

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