Key Guidelines and Evidence

Febrile Seizures

• Guideline for the Neurodiagnostic Evaluation of the Child with a Simple Febrile Seizure (AAN, 2010)
  • Neuroimaging not needed in neurologically normal child 1B
  • EEG not recommended 1B
  • LP should be strongly considered if meningeal signs or <12 months without Hib vaccine 1B

• Clinical practice guideline for the long-term management of the child with simple febrile seizures (AAP, 2008)
  • Anticonvulsants not routinely recommended due to side effects 1B
  • Intermittent oral diazepam can be considered to reduce recurrence 1B

Status Epilepticus

• Treatment of Convulsive Status Epilepticus in Children and Adults (Epilepsy Foundation Guideline, 2016)
  • Administer benzodiazepine as soon as possible 1A
  • Fosphenytoin is preferred 2nd line agent in children 1B
  • Levetiracetam, valproic acid alternatives for 2nd line 1B
  • Urgent control of systemic and respiratory complications 1C