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Respondents from the Divisions of Child Neurology, Emergency Medicine, and Hospital Medicine reached consensus against obtaining an emergent brain magnetic resonance imaging (MRI) for children with prolonged or recurrent complex febrile seizures. Though consensus was not reached regarding brain MRI for children with focal seizures, the majority of respondents recommended against imaging. Those recommending imaging did so for a child described with signs or symptoms of central nervous system injury, who would be off-guideline.

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.