FAS

 A

Domain	Core Finding	Quantitative Data	Clinical Meaning
Population	Children >5 yrs with fever‑associated seizures	n = 110; mean age 7.3 yrs; 73.6% male	This is an under‑recognised group outside the classical 6m–5y window
Seizure Type	Majority simple; minority complex	80% simple; 20% complex	Complexity strongly influences later epilepsy risk
EEG Findings	One‑third show abnormalities	33.3% (45/110)	EEG may help risk‑stratify selected patients
Neuroimaging	Structural abnormalities uncommon	2/51 scans abnormal	Most children do not have underlying structural pathology
Epilepsy Development	Overall epilepsy risk is higher than typical febrile seizures	12.7% (14/110)	Classical febrile seizures carry ~2–5% risk; this group is higher
Impact of Complexity	Complex features dramatically increase risk	40.9% vs 5.7%	Complexity is the strongest predictor of later epilepsy
Age Effect	Older children have higher risk	>7 yrs = significantly increased epilepsy risk	Suggests age‑related shift toward epileptic susceptibility
Follow‑up Duration	Median follow‑up 18 months	—	Enough time to detect early epilepsy emergence
Clinical Implication	This is a distinct subgroup needing attention	—	Not all “late febrile seizures” are benign
Who Needs Closer Review	Children with complex features or age >7	—	These children may benefit from EEG, imaging, and follow‑up