At what temperature will a child experience convulsions due to fever?

Sep 05, 2025 Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
In general, there is no fixed temperature threshold at which a child will experience seizures during fever. Most often, seizures occur when body temperature rapidly rises above 38.5°C. However, some children may experience seizures even if their temperature does not reach 38.5°C. This primarily relates to individual physical condition and the speed at which body temperature rises. When a child has a fever, parents should closely monitor temperature changes and administer antipyretic medication promptly if the temperature exceeds 38.5°C.

Generally speaking, there is no fixed temperature threshold at which a child will experience seizures during a fever. Most seizures occur when the body temperature rapidly rises above 38.5°C. However, some children might experience seizures even if their temperature doesn't reach 38.5°C. This primarily depends on individual physical conditions and the speed at which the temperature rises. Detailed analysis is as follows:

From a clinical perspective, children's febrile seizures are often associated with high fever, especially when the temperature suddenly rises above 38.5°C. These seizures commonly occur in children aged between 6 months and 5 years. This is because the nervous system of children in this age group is not yet fully developed, and a sudden rise in body temperature can easily cause abnormal discharges in brain nerve cells, leading to seizures. However, not all high fevers result in seizures; some children may not experience seizures even when their temperature exceeds 39°C.

Some children, due to special physical conditions such as a family history of febrile seizures or a sensitive nervous system, may experience seizures even when their temperature hasn't reached 38.5°C—sometimes even when it's only around 38°C—if the temperature rises too quickly.

When a child has a fever, parents should closely monitor changes in body temperature. If the temperature exceeds 38.5°C, antipyretic medications should be administered promptly, along with physical cooling methods, to prevent a sudden spike in temperature.

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