A 4-year-old boy has a generalised tonic–clonic seizure lasting 3 minutes associated with fever of 39.5°C during an upper respiratory tract infection....

Question

A 4-year-old boy has a generalised tonic–clonic seizure lasting 3 minutes associated with fever of 39.5°C during an upper respiratory tract infection. He returns to baseline quickly afterwards. There is no focal neurology and he is fully recovered in the emergency department. What is the most appropriate management?

Accepted Answer

Reassure parents and discharge with safety-net advice

Answer

Admit to paediatric intensive care for EEG monitoring

Answer

Start long-term antiepileptic medication

Answer

Arrange urgent CT brain

Answer

Perform lumbar puncture in all cases

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