A 2-year-old girl has a generalised tonic–clonic seizure lasting 3 minutes associated with fever of 39.5°C due to a viral upper respiratory tract infe...

Question

A 2-year-old girl has a generalised tonic–clonic seizure lasting 3 minutes associated with fever of 39.5°C due to a viral upper respiratory tract infection. She rapidly returns to normal and examination is otherwise unremarkable. This is her first seizure. What is the most appropriate management?

Accepted Answer

Discharge with parental reassurance and safety-net advice

Answer

Admit to paediatrics for extensive investigations including CT and EEG

Answer

Start long-term anticonvulsant therapy

Answer

Arrange urgent MRI brain and lumbar puncture in all cases

Answer

Start prophylactic Diazepam whenever she has a fever

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