A 4-year-old boy presents with his first simple febrile seizure associated with a temperature of 39.5 °C due to a viral infection. The seizure lasted ...

Question

A 4-year-old boy presents with his first simple febrile seizure associated with a temperature of 39.5 °C due to a viral infection. The seizure lasted 3 minutes and he has fully recovered with normal neurological examination. What is the most appropriate management?

Accepted Answer

Reassure parents, treat fever and provide education without starting antiepileptic drugs

Answer

Start long-term antiepileptic medication

Answer

Arrange urgent CT brain

Answer

Admit to ICU for continuous EEG monitoring

Answer

Perform lumbar puncture in all cases

au-amc MCQ (SBA): Simple febrile seizure

A 4-year-old boy presents with his first simple febrile seizure associated with a temperature of 39.5 °C due to a viral infection. The seizure lasted 3 minutes and he has fully recovered with normal neurological examination. What is the most appropriate management?