A 3-year-old girl has a generalised tonic-clonic seizure lasting 3 minutes in the context of a temperature of 39.5°C from a viral illness. She returns...

Question

A 3-year-old girl has a generalised tonic-clonic seizure lasting 3 minutes in the context of a temperature of 39.5°C from a viral illness. She returns rapidly to her normal self, with a normal neurological examination. What is the most appropriate management?

Accepted Answer

Reassure parents about simple febrile seizure and treat fever; no routine neuroimaging is needed

Answer

Arrange urgent CT scan of the head

Answer

Commence long-term antiepileptic medication

Answer

Advise parents that all future fevers must be treated with prophylactic Diazepam

Answer

Admit to intensive care for EEG monitoring

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

A 3-year-old girl has a generalised tonic-clonic seizure lasting 3 minutes in the context of a temperature of 39.5°C from a viral illness. She returns rapidly to her normal self, with a normal neurological examination. What is the most appropriate management?