Фебрильные судороги. Гайдлайн American Academy of Pediatrics

[Dr. W.N.]

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Clinicians evaluating infants or young children after a simple febrile seizure should direct their attention toward identifying the cause of the child's fever. Meningitis should be considered in the differential diagnosis for any febrile child, and lumbar puncture should be performed if the child is ill-appearing or if there are clinical signs or symptoms of concern. A lumbar puncture is an option in a child 6 to 12 months of age who is deficient in Hib and S pneumoniae immunizations or for whom immunization status is unknown. A lumbar puncture is an option in children who have been pretreated with antibiotics. In general, a simple febrile seizure does not usually require further evaluation, specifically EEGs, blood studies, or neuroimaging.