Afebrile pediatric seizures.
Most well-appearing children who have had an afebrile seizure can be managed as outpatients with instructions for an outpatient electroencephalogram and primary care physician follow-up. Laboratory studies are needed only in children younger than 6 months, in patients with prolonged seizures or altered level of consciousness, or in those with history of a metabolic disorder or dehydration. Emergent neuroimaging is not recommended in children with a first unprovoked afebrile seizure, although studies should be considered in children with a predisposing condition or focal seizures if younger than 3 years.
Department of Emergency Medicine, Palomar-Pomerado Health System/California Emergency Physicians, 3020 Children's Way, San Diego, CA 92011, USA.
Ghazala Q
GQ
Sharieff
Phyllis L
PL
Hendry
D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D010808:Physical Examination; D012640:Seizures / Q000145:classification / Q000175:diagnosis* / Q000188:drug therapy; D013036:Spasms, Infantile / Q000175:diagnosis* / Q000188:drug therapy
D000927:Anticonvulsants