An 18-month-old boy has a generalised tonic-clonic seizure lasting 3 minutes during a febrile illness with temperature 39.5 °C. He recovers fully with...

Question

An 18-month-old boy has a generalised tonic-clonic seizure lasting 3 minutes during a febrile illness with temperature 39.5 °C. He recovers fully within 20 minutes and examination shows no focal neurological signs. This is his first seizure. What is the most appropriate management?

Accepted Answer

Reassure parents, treat the fever and provide education on managing future febrile seizures

Answer

Start long-term antiepileptic medication

Answer

Admit to intensive care for EEG monitoring

Answer

Arrange urgent CT brain

Answer

Start daily diazepam prophylaxis

au-amc MCQ (SBA): Simple febrile seizure

An 18-month-old boy has a generalised tonic-clonic seizure lasting 3 minutes during a febrile illness with temperature 39.5 °C. He recovers fully within 20 minutes and examination shows no focal neurological signs. This is his first seizure. What is the most appropriate management?