I would like to exclude CNS infection with due investigation if it is a first seizure with fever without any family history of febrile seizure syndrome. For simple febrile seizure syndrome , reassurance is very important first step together with ABC steps of seizure management & management of the cause of fever & prescription of paracetamal with due precautions . There is no need of continuous AED prophylaxis.

For complex febrile seizure syndrome I like to include investigations -EEG & Neuroimaging to exclude any structural lesions in the brain . I like to choice first line AEDs for continuous prophylaxis with due precautions for toxicity & monitoring accordingly .I would like to mention specially febrile status epilepticus to be manage in pediatric in patient department - PICU.Above all prognosis of febrile seizure syndrome should be discussed with the parents & carer of the child.

Dear Dr. saad thanx for your explanatory answer.

We would usually choose valproic acid for continuous prophylaxis of frequent febrile seizures if intermittent rectal diazepam or buccal midazolam is not sufficient or feasible

If someone infant have a altered EEG activity, focal epileptiform and simple febrile seizures? you do the same?

In general, no AED aré cosidered for FS If there are simple. Only in case of very early seizures or complicated ones, could be wise to put away a Dravet S or Protocaderin def. In girls. Rectal Or nasal BDZ should be provided for the case of long lástima FS. No EEG is necessary in regular cases and some times, irrelevant a normalicéis could be misleading.