A 3-year-old girl presents with her first simple febrile seizure lasting 3 minutes during a viral illness. She is now back to baseline with a normal n...

Question

A 3-year-old girl presents with her first simple febrile seizure lasting 3 minutes during a viral illness. She is now back to baseline with a normal neurological examination. According to Canadian and international guidance, what is the most appropriate next step?

Accepted Answer

Reassure parents, treat the fever for comfort and provide safety-net advice without routine neuroimaging

Answer

Order urgent CT head and EEG

Answer

Admit for 48 hours of observation and continuous EEG

Answer

Start long-term anticonvulsant prophylaxis

Answer

Arrange urgent MRI and lumbar puncture in all febrile seizures

ca-mccqe1 MCQ (SBA): Simple febrile seizure

A 3-year-old girl presents with her first simple febrile seizure lasting 3 minutes during a viral illness. She is now back to baseline with a normal neurological examination. According to Canadian and international guidance, what is the most appropriate next step?