THE COMMONEST cause of convulsions in children is a high fever associated with an infectious disease. If there are a half million epileptic persons with convulsions each year, then comparatively, millions of patients with infectious fevers have convulsions. Observation for a quarter of a century has taught me to be optimistic about their outcome.
Convulsions may occur at any time during the course of an infectious disease, but usually they take place at the onset when the temperature is highest and when a rash, if present, is most prominent. They occur at any age but are commonest from birth to 2 years of age.
Convulsions may be localized and unilateral or generalized with no localization, or a combination of reactions may be present. Objectively, convulsions are similar, no matter what the cause. In the majority of patients but one attack occurs, the reaction being so severe that medical aid is