Neurology

Question 1

After what age do febrile convulsions occur?

Answer 1

over 1 month (peak incidence 18 months, occurs up till 6 years)

Question 2

Presentation of a simple seizure?

Answer 2

generalised tonic clonic seizure, lasts under 5 minutes with full recovery within one hour

Question 3

Presentation of complex seizure?

Answer 3

focal onset, lasts more than 10 minutes, recurrent seizures in one febrile illness
febrile status epilepticus

Question 4

What would suggest epilepsy over febrile seizure?

Answer 4

no febrile illness
complex convulsions
developmental concerns
post ictal neurological signs/prolonged drowsiness

Question 5

Risk of recurrence of febrile seizures?

Answer 5

1 in 3, more if risk factors eg family history, under 18 months

Question 6

Management of a febrile seizure?

Answer 6

check nothing in mouth

put in recovery position once it has stopped

Question 7

When should ambulance be called in seizure?

Answer 7

if ongoing twitching, another seizure starts, etc

Question 8

What is prognosis of febrile seizures?

Answer 8

good - most will outgrow

Question 9

To correct shock in a child, what volume of fluid should be given?

Answer 9

20ml/kg

10ml/kg if associated raised intracranial pressure

Question 10

Signs of raised ICP?

Answer 10

bulging fontanelles
bradycardia
abnormal pupils, breathing and posture