Q:

A 4 year old baby has generalized tonic-clonic seizure and fever of 39C. his mother informs you that this has happened 3-4 times before. What is the most likely diagnosis?

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A 4 year old baby has generalized tonic-clonic seizure and fever of 39C. his mother informs you that this has happened 3-4 times before. What is the most likely diagnosis?


  1. Febrile convulsion
  2. Absence seizures
  3. Epilepsy
  4. Partial complex seizure

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The key is A. Febrile convulsion. [Points in favour: seizers in presence of high fever. Same previous illness indicate seizers during fever which goes against epilepsy. Though usually febrile convulsion dosen’t tend to recur but it can recur as well. Epilepsy has no relation to fever but is due to pathology in brain].

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