A 3-year-old child has a generalised tonic-clonic seizure lasting 2 minutes during a febrile illness. She returns rapidly to baseline, examination is ...

Question

A 3-year-old child has a generalised tonic-clonic seizure lasting 2 minutes during a febrile illness. She returns rapidly to baseline, examination is normal and there are no focal neurological signs. This is her first seizure. What is the most appropriate management?

Accepted Answer

Reassure parents, treat the fever and provide safety advice without starting antiepileptic drugs

Answer

Start long-term anticonvulsant therapy

Answer

Perform urgent CT brain

Answer

Admit for lumbar puncture in all cases

Answer

Arrange EEG and MRI urgently for all febrile seizures

au-racgp MCQ (SBA): Simple febrile seizure

A 3-year-old child has a generalised tonic-clonic seizure lasting 2 minutes during a febrile illness. She returns rapidly to baseline, examination is normal and there are no focal neurological signs. This is her first seizure. What is the most appropriate management?