A 2-year-old girl has a generalised tonic-clonic seizure lasting 3 minutes associated with a temperature of 39.4°C from presumed viral infection. She ...

Question

A 2-year-old girl has a generalised tonic-clonic seizure lasting 3 minutes associated with a temperature of 39.4°C from presumed viral infection. She returns quickly to baseline, has a normal neurological examination and no focal signs. What is the most appropriate management?

Accepted Answer

Discharge with safety-net advice and antipyretic use

Answer

Start long-term antiepileptic medication

Answer

Arrange urgent CT brain

Answer

Admit to paediatric intensive care

Answer

Arrange urgent EEG before discharge

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

A 2-year-old girl has a generalised tonic-clonic seizure lasting 3 minutes associated with a temperature of 39.4°C from presumed viral infection. She returns quickly to baseline, has a normal neurological examination and no focal signs. What is the most appropriate management?