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Is routine EEG helpful in the management of complex febrile seizures?
  1. E Cuestas
  1. Hospital Privado, Córdoba, Argentina;

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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.

    View this table:
    Table 3

    EEG in the management of complex febrile seizures


    A febrile …

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    • Bob Phillips