What is the link between febrile seizures
in childhood and epilepsy later in life?
About 5% of all children under the age
of five years will experience at some point
a seizure caused by a fever. These are called
febrile seizures. These seizures are not
normally serious, and go away when the fever
subsides. However, if these seizures are
long or occur frequently, developing temporal
lobe epilepsy (TLE) in adulthood is more
likely. This form of epilepsy is often not
treatable with current anti-epileptic drugs.
Scientists think that the febrile seizures
may cause some sort of damage to the brain
cells in the hippocampus, and that this
is then the cause of the seizures many years
later. These developments may be linked
by the activity of a protein called interleukin-1,
which is part of the body's immune system.
Interleukin-1 helps generate and regulate
the body's immune response. Developing a
fever is also part of this natural immune
response.
Dr Stuart Allan at the University
of Manchester has been awarded £59,518
over three years to investigate this link.
This project, called "The association
between febrile seizures and temporal lobe
epilepsy and the role of interleukin-1",
will look for the link by studying interleukin-1
levels and distribution in the brain. Dr
Allan will look at whether these levels
can be affected by genetic background or
by the administration of anti-inflammatory
drugs. If interleukin-1 is proved to be
part of the development of TLE from febrile
seizures, this may provide the basis for
a new treatment for febrile seizures in
children which will reduce their chances
of getting TLE later in life.