Flashcards in Seizure disorders in children Deck (13):
what are some causes of 'non-epileptic seizures'?
acute symptomatic seizures due to meningitis/trauma
in what kind of seizure will consciousness be impaired?
ALWAYS in generalised seizures
or in focal seizures which become generalised
what do we call seizures where you retain consciousness?
simple partial seizures (relate to focal seizures because generalised seizures are ALWAYS with impaired consciousness)
ddx for seizure like activity?
sleep jerks (normal phenomenon)
movement disorders e.g. tics, stereotypy
what is the difference between tremor and clonic jerking?
clonic jerking has a contraction and relaxation phase whereas a tremor doesn't.
if you ever have awareness of a seizure, it must be .....?
focal seizure or aura
how can we provoke an absence seizure?
what is the classical definition of epilepsy in paediatrics?
recurrent (2 or more) unprovoked (afebrile), epileptic seizures
what are the two categories of epilepsy which may indicate prognosis for the child?
genetic/idiopathic/primary- children with predisposition for epilepsy but normal neurology, may have a family history of seizures--> good prognosis
secondary/structural/metabolic- children have epilepsy from some structural/metabolic primary cause e.g. brain trauma, hypoglycaemia, intracerebral tumour etc
what is the peak age for breath holding episodes?
1-2 year old toddlers
febrile convulsions occur in --% of healthy children
what are some things you should tell a parent about what to do if their child has another febrile convulsion?
Tell them that they may notice their child LOC, become stiff, jerk, red or blue in the face. This may last for several minutes and they may be drowsy/irritable afterwards.
• Stay calm, time the episode, remove harmful objects, recovery position, don't put anything in their mouth
>5 minutes, child does not wake up after convulsions stops, child has another convulsion within the same febrile illness, child looks really sick --> call ambulance