20-month-old Boy in Pediatrics — Case | Paediatric Neurology | SMLE Q#18770

SMLE Question #18770

Pediatrics Paediatric Neurology

Objective: OBJ-NEURO-CP-001

Last updated: March 2026
A 20-month-old boy has a generalized seizure during a febrile viral upper respiratory infection. The seizure lasted 3 minutes, stopped spontaneously, and he returned to baseline within 20 minutes. He has normal development, no prior seizures, and no focal neurologic deficits on examination. His parents ask about long-term outcomes and how to reduce future epilepsy risk. Which counseling statement is most appropriate?

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