Introduction: Febrile convulsions are the most common seizure disorder in infancy and early childhood, usually associated with fever without evidence of central nervous system infection. Although most febrile seizures are benign, complex febrile convulsions may lead to neurological complications and adverse neurodevelopmental outcomes. Early identification of developmental abnormalities and timely physiotherapy intervention are crucial in improving functional outcomes in high-risk infants.

Method: This case report describes a 6-month-old male infant who presented with high-grade fever and recurrent convulsive episodes. Detailed history was obtained from the parents, and comprehensive clinical, neurological, and developmental assessments were performed. Physical examination included evaluation of posture, muscle tone, reflexes, head circumference, motor responses, and developmental milestones. Based on clinical findings, physiotherapy assessment was conducted to identify neuromotor impairments and to plan early intervention strategies.

Results: The infant exhibited features of complex febrile convulsions along with abnormal neurological findings, including microcephaly, hypertonia, exaggerated deep tendon reflexes, and delayed motor responses. Postural abnormalities and limited voluntary movements indicated impaired neuromotor development. Early physiotherapy intervention focusing on positioning, sensory stimulation, facilitation of normal movement patterns, and caregiver education was initiated. Gradual improvement in motor responses and tolerance to handling was observed during follow-up.