Evaluation for Infectious Causes for Epileptic patient


An infectious etiology should be pursued in all children who present with new-onset seizures in the setting of fever. A lumbar puncture is strongly recommended for patients with febrile seizures in the first 12 months after birth (certainly in the first 6 months after birth) and in those presenting with febrile status epilepticus, to exclude intracranial infection.

In children who present with seizures, fever, and new focal neurologic deficits, an infectious evaluation should be performed; however, neuroimaging to exclude a space-occupying lesion should be performed before lumbar puncture.


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