A 9-month-old infant presents with a febrile seizure lasting 3 minutes, generalised tonic-clonic, with complete recovery and a normal examination. The...

Question

A 9-month-old infant presents with a febrile seizure lasting 3 minutes, generalised tonic-clonic, with complete recovery and a normal examination. There is no family history of epilepsy. What is the MOST appropriate management?

Accepted Answer

Reassure parents, treat fever, and no routine neuroimaging or antiepileptic therapy

Answer

Admit for EEG and commence long-term anticonvulsants

Answer

Arrange urgent CT brain to exclude intracranial pathology

Answer

Start diazepam prophylaxis whenever the child has a fever

Answer

Refer for urgent lumbar puncture in all febrile seizures

au-amc MCQ (SBA): Simple febrile seizure

A 9-month-old infant presents with a febrile seizure lasting 3 minutes, generalised tonic-clonic, with complete recovery and a normal examination. There is no family history of epilepsy. What is the MOST appropriate management?