A previously well 18-month-old child has a generalised tonic–clonic seizure lasting 3 minutes during a febrile illness. He recovers fully with no foca...

Question

A previously well 18-month-old child has a generalised tonic–clonic seizure lasting 3 minutes during a febrile illness. He recovers fully with no focal neurological deficit. Examination is otherwise normal and he is alert. What is the most appropriate management?

Accepted Answer

Reassure parents, treat the fever, observe for a short period and discharge with safety-net advice

Answer

Immediate CT brain and lumbar puncture in all cases

Answer

Start long-term antiepileptic medication

Answer

Admit to intensive care for monitoring

Answer

Arrange urgent MRI brain

Simple febrile seizure — PLAB 1 MCQ

A previously well 18-month-old child has a generalised tonic–clonic seizure lasting 3 minutes during a febrile illness. He recovers fully with no focal neurological deficit. Examination is otherwise normal and he is alert. What is the most appropriate management?