A 20-month-old has a generalised tonic-clonic seizure lasting 3 minutes with fever 39.4°C. Post-ictal but recovering. No focal neurology. What is the ...

Question

A 20-month-old has a generalised tonic-clonic seizure lasting 3 minutes with fever 39.4°C. Post-ictal but recovering. No focal neurology. What is the appropriate management?

Accepted Answer

Reassure, antipyretics, safety-net

Answer

Urgent CT head

Answer

Start long-term antiepileptics

Answer

Immediate lumbar puncture in all

Answer

High-dose steroids

ukmla MCQ (SBA): Febrile Seizure (Simple)

A 20-month-old has a generalised tonic-clonic seizure lasting 3 minutes with fever 39.4°C. Post-ictal but recovering. No focal neurology. What is the appropriate management?