A 3-year-old girl is brought after a brief generalised tonic-clonic seizure lasting 2 minutes during a febrile illness. She recovered quickly and exam...

Question

A 3-year-old girl is brought after a brief generalised tonic-clonic seizure lasting 2 minutes during a febrile illness. She recovered quickly and examination is unremarkable, apart from otitis media. There is no focal neurology. What is the most appropriate management?

Accepted Answer

Treat the cause of fever and discharge with safety-netting

Answer

Admit for urgent CT brain scan

Answer

Start long-term antiepileptic medication

Answer

Perform lumbar puncture in all such cases

Answer

Arrange EEG before discharge

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

A 3-year-old girl is brought after a brief generalised tonic-clonic seizure lasting 2 minutes during a febrile illness. She recovered quickly and examination is unremarkable, apart from otitis media. There is no focal neurology. What is the most appropriate management?