A previously well 18-month-old girl has a generalised tonic-clonic seizure at home lasting 3 minutes during a febrile illness. She recovers fully with...

Question

A previously well 18-month-old girl has a generalised tonic-clonic seizure at home lasting 3 minutes during a febrile illness. She recovers fully within 20 minutes and is now playful in the emergency department. Examination is normal apart from a temperature of 38.9°C. What is the most appropriate management?

Accepted Answer

Discharge with parental education on febrile seizures

Answer

Admit for EEG and lumbar puncture

Answer

Start long-term anticonvulsant therapy

Answer

Arrange urgent MRI brain

Answer

Give high-dose steroids to prevent recurrence

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