Need for Lumbar Puncture in Children Younger Than 12 Months Presenting with Simple Febrile Seizure

Yu Yun Son, Gun Ha Kim, Jung Hye Byeon, So Hee Eun, Baik Lin Eun

    Research output: Contribution to journalArticlepeer-review

    3 Citations (Scopus)


    Objectives Recently, conflicting results have been reported regarding the necessity of routine lumbar puncture in children less than 12 months of age with simple febrile seizure. The aims of this study were to evaluate the results of lumbar puncture in children younger than 60 months of age with febrile seizure and to reassess the need for lumbar puncture in children younger than 12 months with simple febrile seizure. Methods A retrospective chart review was performed in patients younger than 60 months who presented with febrile seizure and underwent lumbar puncture from January 2005 to January 2015. Results A total of 1249 patients presenting with febrile seizure were admitted. Of these, 816 met inclusion criteria for presenting with simple febrile seizure. Lumbar puncture was performed in 75 patients (9.2%; age, mean ± SD, 12.05 ± 9.13 months; male/female, 31/44), who were reviewed. Sixty-six (88.0%) of 75 patients were younger than 12 months. Five patients (6.7%) showed pleocytosis in cerebrospinal fluid, and 4 of them were younger than 1 year of age. Three patients (4.0%) had bacterial meningitis and were 4, 8, and 12 months. Streptococcus pneumoniae (2 patients) and Klebsiella pneumoniae (1 patient) were isolated in cerebrospinal fluid. Nobody had neurologic signs suggesting bacterial meningitis, and all of them completed scheduled immunizations and were up-to-date. Conclusion Lumbar puncture should be considered in every child younger than 12 months of age with a simple febrile seizure owing to lack of abnormal neurologic sign even if immunization is up-to-date.

    Original languageEnglish
    Pages (from-to)212-215
    Number of pages4
    JournalPediatric Emergency Care
    Issue number3
    Publication statusPublished - 2018 Mar 1

    Bibliographical note

    Publisher Copyright:
    © 2018 Wolters Kluwer Health, Inc. All rights reserved.


    • febrile seizure
    • lumbar puncture
    • meningitis

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Emergency Medicine


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