Article Text
Archimedes
Is routine EEG helpful in the management of complex febrile seizures?
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A previously healthy 16 month old girl attends with the first episode of a complex febrile seizure (prolonged more than 15 minutes). She is neurologically normal, and examination reveals otitis media as the source of her fever. According to local protocol, her evaluation includes an EEG. One cannot but wonder as to the value of this routine practice.
Structured clinical question
In a 16 month old neurologically healthy girl [patient] with the first episode of a complex febrile seizure [risk factor] what is the probability of abnormalities after postictal EEG [outcome]?
Search strategy and outcome
Secondary sources—nil.
Search strategy—“(febrile, seizures, complex)” [MeSH] AND “EEG”.
Search results—68 individual articles found, one relevant. See table 3.
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Commentary
A febrile …
Footnotes
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Bob Phillips