Seizures - afebrile
Red flags
- Seizure without fever but with meningism/reduced consciousness -> still consider CNS infection (encephalitis can be afebrile early)
- New focal signs -> structural lesion
- Prolonged seizure or failure to return to baseline -> status/non-convulsive status
- First seizure in pregnancy with hypertension -> eclampsia even without fever
- Recurrent afebrile seizures with no clear trigger -> unprovoked epilepsy work-up needed
7 more sections, plus exam facts
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