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Conclusion
After a complex febrile seizure, well-appearing children who have returned to their baseline and have a normal neurological exam can probably forego the lumbar puncture. Because these studies are retrospective in nature, caution should be employed when exercising this treatment strategy.
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ACEP Now: Vol 40 – No 09 – September 2021References
- Seltz LB, Cohen E, Weinstein M. Risk of bacterial or herpes simplex virus meningitis/encephalitis in children with complex febrile seizures. Pediatr Emerg Care. 2009;25(8):494-497.
- Kimia A, Ben-Joseph EP, Rudloe T, et al. Yield of lumbar puncture among children who present with their first complex febrile seizure. Pediatrics. 2010;126(1):62-69.
- Hardasmalani MD, Saber M. Yield of diagnostic studies in children presenting with complex febrile seizures. Pediatr Emerg Care. 2012;28(8):789-791.
- Rivas-García A, Ferrero-García-Loygorri C, González-Pinto LC, et al. Simple and complex febrile seizures: is there such a difference? Management and complications in an emergency department. Neurologia (Engl Ed). 2019;S0213-4853(19)30079-9.
- Fletcher EM, Sharieff G. Necessity of lumbar puncture in patients presenting with new onset complex febrile seizure. West J Emerg Med. 2013;14(3):206-211.
- Guedj R, Chappuy H, Titomanlio L, et al. Do all children who present with a complex febrile seizure need a lumbar puncture? Ann Emerg Med. 2017;70(1):52-62.e6.
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