A 2-year-old boy has a generalised tonic-clonic seizure lasting 3 minutes associated with fever of 39°C from an upper respiratory tract infection. He ...

Question

A 2-year-old boy has a generalised tonic-clonic seizure lasting 3 minutes associated with fever of 39°C from an upper respiratory tract infection. He recovers quickly with a normal neurological examination and returns to baseline. There is no history of prior seizures. What is the most appropriate management?

Accepted Answer

Reassure parents about simple febrile convulsion and treat the fever

Answer

Start long-term anticonvulsant therapy

Answer

Urgent CT brain and lumbar puncture in all cases

Answer

Admit to ICU for continuous EEG monitoring

Answer

Arrange urgent neurosurgical review

au-amc MCQ (SBA): Simple febrile convulsion