Question

A 20-month-old boy is brought to the emergency department after a first episode of generalised tonic–clonic seizure lasting 3 minutes associated with fever 39.0°C. He recovers fully within 10 minutes and examination is normal, with no meningism. What is the most appropriate management plan?

Accepted Answer

Reassure the parents, give antipyretic advice and arrange same-day discharge with safety-netting

Answer

Admit for EEG and start long-term anticonvulsant therapy

Answer

Start prophylactic diazepam for future febrile illnesses

Answer

Arrange urgent CT head and lumbar puncture in all cases

Answer

Refer urgently for neurosurgical opinion

Practice question

A 20-month-old boy is brought to the emergency department after a first episode of generalised tonic–clonic seizure lasting 3 minutes associated with fever 39.0°C. He recovers fully within 10 minutes and examination is normal, with no meningism. What is the most appropriate management plan?