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Emerg Med Clin North Am. 2011 Feb;29(1):95-108. doi: 10.1016/j.emc.2010.08.009.

Afebrile pediatric seizures.

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Department of Emergency Medicine, Palomar-Pomerado Health System/California Emergency Physicians, 3020 Children's Way, San Diego, CA 92011, USA.


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.

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