Seizures are defined as a transient occurrence of signs and symptoms due to the abnormal, excessive, or synchronous neuronal activity in the brain characterized by abrupt and involuntary skeletal muscles activity. The adjective “transient” in the definition, indicates a time frame with a clear onset and remission.1 Seizures in children are one of the most frequent reasons for consultation in the Pediatric Emergency Department (PED).2 The causes of seizures are numerous and although in children in most cases they have a favorable prognosis, the onset of crises induces a tremendous psychological impact in the parents and caregivers. The principal risk factors for seizures in children are correlated with: positive family history, high temperature, mental disability, delayed discharge from NICU or premature birth, mother’s alcohol abuse and smoking in pregnancy doubles the risk of seizure incidence.3 Moreover in 30% of children in which the first episode of seizures occurs, the probability of recurrent episodes is increased. Instead risks factors of recurrent febrile seizures include: small age and duration of first episode of seizures, low temperature during the first episode, positive familiar history for febrile seizures in a first degree relative, short timeframe from temperature elevation, and seizure onset.4 The present study was conducted to assess clinical profile of pediatric epilepsy cases.