Question

Sarah, a 13-month-old, whose parents are very concerned after she experienced a second febrile seizure. They ask you about the use of medications to prevent any further seizures. Which of the following statements is not true regarding febrile seizure prophylaxis?

1) Short-term anticonvulsant prophylaxis is not indicated.
2) Prolonged anticonvulsant prophylaxis for preventing recurrent febrile convulsions is controversial and no longer recommended.
3) It may be indicated for children < 12 months with recurrent febrile seizures.
4) Oral diazepam may be used at the onset and for the duration of the febrile illness to reduce the risk of recurrence of febrile seizures.

Answer 1

Short-term anticonvulsant prophylaxis may be considered for certain children who are < 6 months of age and have had complex febrile seizures.

Step-by-step explanation:

Febrile seizure prophylaxis is a controversial topic, and there are varying views on its use. However, the statement that is not true regarding febrile seizure prophylaxis is option 1) Short-term anticonvulsant prophylaxis is not indicated. According to current guidelines, short-term anticonvulsant prophylaxis may be considered for certain children who are < 6 months of age and have had complex febrile seizures. This can help prevent further seizures in high-risk cases.