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Simple febrile seizure — RACP Paediatrics MCQ

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EasyNeurology and neurodevelopmentSimple febrile seizureRACP Paediatrics

A 20-month-old has a generalised tonic-clonic seizure lasting two minutes during a febrile viral illness. He is now alert, has no meningism and has normal development. This is his first seizure. What would you advise the parents?

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Correct answer: E — Explain the benign prognosis and provide first-aid advice for future seizures

A brief generalised seizure in a developmentally normal toddler with fever and full recovery is a simple febrile seizure. Long-term antiseizure therapy and urgent neuroimaging are not indicated in a typical case. Parents need practical seizure first-aid advice and clear safety-netting for prolonged or focal events.

Reference: RCH Febrile seizure guideline; RACP Knowledge Guides