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Neurology Consultation

If prolonged focal neurological deficit with a suspicion of status epilepticus or seizure duration greater than 5 minutes or a series of seizures that grouped together last > 30 minutes. (This child is off our guideline)

Non-urgent outpatient follow-up not recommended for simple febrile seizure

Non-urgent outpatient follow-up for complex febrile seizure, and other risk factors for epilepsy:

  • Family history of epilepsy- this is the only one that meets our inclusion criteria- should we give other guidance?

  • Previous traumatic brain injury or central nervous system infection- does not meet our inclusion criteria

  • Previous or current episode of status epilepticus- does not meet our inclusion criteria

  • Baseline neurodevelopmental or neurological deficits/abnormalities microcephaly, macrocephaly, cerebral palsy, or developmental delay- does not meet our inclusion criteria

  • Evidence of neurocutaneous syndrome neurofibromatosis, tuberous sclerosis etc. – does not meet our inclusion criteria

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.