Clinical Practice and
Referral Guidelines

First Time Unprovoked Non-Febrile Seizure

The objective in developing this guideline is to assist the pediatrician in the management of first time unprovoked, non-febrile seizure and to determine when it is necessary to make a referral to a pediatric neurologist.     

This guideline includes the following: 1.) Identification of seizure characteristics and symptoms following seizure; 2.)  Evaluation recommendations to include timing,  history, onset, developmental status, precipitating events and health at seizure onset, a complete physical and neurological exam ; 3.) Recommendations for lab, EEG and  imaging; 4.) Treatment options; and 5.) Recommendations for referral to a pediatric neurologist. 

If you are a physician and would like more information on the Clinical Practice and Referral Guideline for First Time Unprovoked, Non-febrile Seizure Assessment  please contact us at

If you are concerned that your child has had a seizure, please consult with your child’s pediatrician or primary care physician immediately.

*This guideline was developed in collaboration with Kids Health First pediatricians and  pediatric neurologists from Georgia Pediatric Subspecialists. The recommendations in the  guideline do not indicate an exclusive course of treatment. The intent is to build a consensus of care in the pediatric community and provide a framework for clinical decision-making. Last revised 1/2011.

We do capture site browsing history to improve our website for future visitors!