Febrile infection-related epilepsy syndrome (FIRES)

Evidence-based neurology checklist on febrile infection-related epilepsy syndrome (fires): Pathology This is a post-infectious epileptic encephalopathy It is presumed to be autoimmune but the usual antibodies are negative The seizure focus is in the medial temporal lobe Onset features Clinical…

Pathology

  • This is a post-infectious epileptic encephalopathy
  • It is presumed to be autoimmune but the usual antibodies are negative
  • The seizure focus is in the medial temporal lobe

Onset features

Clinical features

Associated features

Clinical phases

Magnetic resonance imaging (MRI)

Electroencephalogram (EEG)

Treatment

Investigational treatment

Synonyms

References

  1. van Baalen A, Häusler M, Plecko-Startinig B, et al. Febrile infection-related epilepsy syndrome without detectable autoantibodies and response to immunotherapy: a case series and discussion of epileptogenesis in FIRES. Neuropediatrics 2012; 43:209-216.
  2. Caputo D, Iorio R, Vigevano F, Fusco L. Febrile infection-related epilepsy syndrome (FIRES) with super-refractory status epilepticus revealing autoimmune encephalitis due to GABAAR antibodies. Eur J Paediatr Neurol 2018; 22:182-185.
  3. Serrano-Castro PJ, Quiroga-Subirana P, Payán-Ortiz M, Fernandez-Perez J. The expanding spectrum of febrile infection-related epilepsy syndrome (FIRES). Seizure 2013; 22:153-155. 
  4. Caraballo RH, Reyes G, Avaria MF, et al. Febrile infection-related epilepsy syndrome: a study of 12 patients. Seizure 2013; 22:553-559. 
  5. Nabbout R. Autoimmune and inflammatory epilepsies. Epilepsia 2012; 53(Suppl. 4):58–62.
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