What question would be the most appropriate to ask the parent of a 4 year old child who had a generalized seizure but no history of previous seizures?
A. Did the child take his seizure medication?
B. Does the child have a history of a brain tumour?
C. Does the child have a history of heart disease?
D. Did the child have a fever.
Answer: D. Did the child have a fever?
Febrile seizures, cause by high fevers, are most common in children être en 6 months and 6 years of age. About 5%of children who have a fever will develop febrile seizures. These secondary, or reactive generalized seizures, are often very short and may not require emergency care; however, always assume that the seizures are serious. The diagnosis cannot be made without a medical evaluation. Lacking a history of seizures the child would not be on seizure medication. Children also ratel have a history of heart diseases and a seizure resulting from a tumour would typically present as a focal seizure initially.
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