A previously well 18-month-old girl has a generalised tonic–clonic seizure lasting 3 minutes during a febrile illness. She is now alert with no focal ...

Question

A previously well 18-month-old girl has a generalised tonic–clonic seizure lasting 3 minutes during a febrile illness. She is now alert with no focal neurological signs. What is the most appropriate management in the emergency department?

Accepted Answer

Reassure the parents, treat the fever and discharge with safety-netting advice

Answer

Admit for prolonged EEG monitoring in all cases

Answer

Start long-term anticonvulsant therapy

Answer

Urgently arrange CT brain

Answer

Prescribe prophylactic antibiotics for all future fevers

uk-plab-1 MCQ (SBA): Simple febrile convulsion

A previously well 18-month-old girl has a generalised tonic–clonic seizure lasting 3 minutes during a febrile illness. She is now alert with no focal neurological signs. What is the most appropriate management in the emergency department?