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Posted On : 02 Oct 2022

What should be a line of management in a child who is suffering from febrile convulsion beyond five years of age Child is otherwise neurologically intact.

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Answer 1

The usual age range for febrile seizures is 6 months to 6 years. In rare cases, febrile seizures continue well beyond 6 years. In these cases it is important to rule out GEFSplus { generalized epilepsy with febrile seizures}. If this child is not having any afebrile seizures and his EEG is normal, no change in management is needed { fever prophylaxis, no need for antiepileptic}. If he is having very frequent or very long febrile seizures, consider Clobazam or Levetiracetam as temporary prophylaxis though not much evidence exists for efficacy.

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