16-03-2011
FEBRILE SEIZURES: GUIDELINE FOR THE NEURODIAGNOSTIC EVALUATION OF THE CHILD WITH A SIMPLE FEBRILE SEIZURE — SUBCOMMITTEE ON FEBRILE SEIZURES 127 (2): 389 — PEDIATRICS
Posted: Μαρτίου 12, 2011 by andreou in Uncategorized
CONCLUSIONS: Pediatrics 2011;127:389–394
Clinicians evaluating infants or young children after a simplefebrile seizure should direct their attention toward identifyingthe cause of the child’s fever. Meningitis should be consideredin the differential diagnosis for any febrile child, and lumbarpuncture should be performed if the child is ill-appearing orif there are clinical signs or symptoms of concern. A lumbarpuncture is an option in a child 6 to 12 months of age who isdeficient in Hib and S pneumoniae immunizations or for whomimmunization status is unknown. A lumbar puncture is an optionin children who have been pretreated with antibiotics. In general,a simple febrile seizure does not usually require further evaluation,specifically EEGs, blood studies, or neuroimaging.
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