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Simple febrile seizure — CCFP MCQ

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HardPaediatrics and adolescentSimple febrile seizureCCFP

A 20-month-old has a first generalized seizure lasting four minutes with fever, returns rapidly to baseline and has a normal neurological examination. What is the most likely diagnosis?

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Correct answer: B — A simple febrile seizure with typical recovery

Explanation lettering: E = shown as A · A = shown as E

B is correct. A brief generalized fever-associated seizure with prompt recovery in the typical age group is a simple febrile seizure. C, D, E and A need different features. Neuroimaging is not routine when presentation is typical.

Reference: Canadian Family Physician: Reducing unnecessary investigations in pediatric simple febrile and first-episode generalized unprovoked seizures: https://www.cfp.ca/content/71/9/563