Febrile infection-related epilepsy syndrome

Wu Ye, Sang Tian, Guan Qian

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Journal of Chongqing Medical University ›› 2025, Vol. 50 ›› Issue (03) : 275-279. DOI: 10.13406/j.cnki.cyxb.003752
Febrile Infection-Related Epilepsy Syndrome Column

Febrile infection-related epilepsy syndrome

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Abstract

Febrile infection-related epilepsy syndrome is an inflammation-related acute encephalopathy that occurs in previously healthy children and adolescents. It is clinically characterized by super-refractory status epilepticus that occurs after a febrile infection and is often associated with poor prognosis. In recent years,with a deeper understanding of this disease,the treatment approaches have shifted to early and timely immunotherapy and comprehensive support on the basis of standardized anti-epileptic seizure treatment. This review comprehensively elaborates the definition,clinical characteristics,auxiliary examinations,pathogenesis,diagnosis and evaluation,treatment,prognosis,and future research directions of febrile infection-related epilepsy syndrome,aiming to enhance understanding and improve prognosis.

Key words

febrile infection-related epilepsy syndrome / new-onset refractory status epilepticus / infection-triggered encephalopathy syndrome

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Wu Ye , Sang Tian , Guan Qian. Febrile infection-related epilepsy syndrome. Journal of Chongqing Medical University. 2025, 50(03): 275-279 https://doi.org/10.13406/j.cnki.cyxb.003752

References

1
Hirsch LJ Gaspard N van Baalen A,et al. Proposed consensus definitions for new-onset refractory status epilepticus(NORSE),febrile infection-related epilepsy syndrome(FIRES),and related conditions[J]. Epilepsia201859(4):739-744.
2
Specchio N Wirrell EC Scheffer IE,et al. International League Against Epilepsy classification and definition of epilepsy syndromes with onset in childhood:position paper by the ILAE task force on nosology and definitions[J]. Epilepsia202263(6):1398-1442.
3
Wickstrom R Taraschenko O Dilena R,et al. International consensus recommendations for management of new onset refractory status epilepticus(NORSE) including febrile infection-related epilepsy syndrome(FIRES):summary and clinical tools[J]. Epilepsia202263(11):2827-2839.
4
Wickstrom R Taraschenko O Dilena R,et al. International consensus recommendations for management of new onset refractory status epilepticus(NORSE) including febrile infection-related epilepsy syndrome(FIRES):summary and clinical tools[J]. Epilepsia202263(11):2827-2839.
5
Sakuma H Thomas T Debinski C,et al. International consensus definitions for infection-triggered encephalopathy syndromes[J]. Dev Med Child Neurol202567(2):195-207.
6
Specchio N Pietrafusa N. New-onset refractory status epilepticus and febrile infection-related epilepsy syndrome[J]. Dev Med Child Neurol202062(8):897-905.
7
Farias-Moeller R Bartolini L Staso K,et al. Early ictal and interictal patterns in FIRES:the Sparks before the blaze[J]. Epilepsia201758(8):1340-1348.
8
Culleton S Talenti G Kaliakatsos M,et al. The spectrum of neuroimaging findings in febrile infection-related epilepsy syndrome (FIRES):a literature review[J]. Epilepsia201960(4):585-592.
9
Meletti S Giovannini G D’Orsi G,et al. New-onset refractory status epilepticus with claustrum damage:definition of the clinical and neuroimaging features[J]. Front Neurol20178:111.
10
Hanin A Cespedes J Dorgham K,et al. Cytokines in new-onset refractory status epilepticus predict outcomes[J]. Ann Neurol202394(1):75-90.
11
Tan TH Perucca P O’Brien TJ,et al. Inflammation,ictogenesis,and epileptogenesis:an exploration through human disease[J]. Epilepsia202162(2):303-324.
12
Clarkson BDS LaFrance-Corey RG Kahoud RJ,et al. Functional deficiency in endogenous interleukin-1 receptor antagonist in patients with febrile infection-related epilepsy syndrome[J]. Ann Neurol201985(4):526-537.
13
Lin WS Hsu TR. Hypothesis:Febrile infection-related epilepsy syndrome is a microglial NLRP3 inflammasome/IL-1 axis-driven autoinflammatory syndrome[J]. Clin Transl Immunology202110(6):e1299.
14
Koh S Wirrell E Vezzani A,et al. Proposal to optimize evaluation and treatment of Febrile infection-related epilepsy syndrome (FIRES):a Report from FIRES workshop[J]. Epilepsia Open20216(1):62-72.
15
Lai YC Muscal E Wells E,et al. Anakinra usage in febrile infection related epilepsy syndrome:an international cohort[J]. Ann Clin Transl Neurol20207(12):2467-2474.

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