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The Simple Febrile Seizure CPG team concurs with the recommendation of the AAP (Patricia K Duffner et al., 2008) that states neuroimaging “should not be performed in the routine evaluation of the child with a simple febrile seizure”. Observational studies are the basis of the recommendation. Furthermore, the American College of Radiology (ACR Guideline, 2012) states there is no indication for imaging in simple febrile seizures. No additional studies have been found since the search completed for the AAP Guideline was performed. We value identifying the source of the fever, and treating the cause of the fever appropriately. We also value decreasing radiation exposure that occurs with CT scanning, and the risk from sedation and cost associated with MRI.

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.