Question of the Week

Question :

Posted On : 30 Dec 2006

For FIRST ATTACK OF FEBRILE SEIZURE IS LP{LUMBAR PUNCTURE}NEEDED?

Expert Answer :

No expert answer available.

Answer Discussion :

Dana

18 years ago

Ravi Gupta

It depends on many factors.
1} age of the child
2} clinical examination of child i.e. whether any features of mengititis are present or not
3} usually as a rule of thumb- the younger the child the more suspicion of meningitiis

18 years ago

pediatriconcall

Though there are several opinions on the subject, there are several papers that recommend a lumbar puncture in first episode of febrile convulsion to rule out meningitis.

REf:
N Rutter and OR Smales . Role of routine investigations in children presenting with their first febrile convulsionArchives of Disease in Childhood, Vol 52, 188-191.
Azhar Daoud. Febrile convulsion: review and update. Journal of Pediatric Neurology 2004, 2{1}: 9-14

18 years ago

samir

this depend on age of patient if the child below 18 months the meningeal sigins not manifested well so LP should be done if there is high index of suspicion of meningitis otherwise patient after 18 monthts with first attack febrile seizure should be carefully observed......

18 years ago

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