seizures
causes west syndrome eeg management prognosis
2/3 have underlyign neurological cause hyparrythmia vigabatrun or sterods most will lose sklills and develoo learning diasability or epilepsy
childhood abscence epilepsy age presentation gender trigger diagnosis prognosis
4-12 abscnece, no longer than 30s, no awreness or ecall, developmentally normal 2/3 female hyperventilation commonly induces clinical , EEG characterisitc 95% resolves, 5-10% develop tonic clonic
epilepsy imaging in child
MRI/CT rarely rencessary if likely generalised only idicated for focal seizures or if neuro signs between seizures
management febrile seizure
antipyretic not effective manage as for normal seizure if goes beyond 5 mins eeg not nequired oral prophylactic antiepelicetcs not effective
non seizure funny turns in child
breath holding atatcks reflex anoxic seizures bPPV syncope migraine spseudoseizure arrythmia
simple vs complex febrile seizures
complex - >5min, multiple in same illness , focal complex have increased risk of developing epilepsy (4-12% compared to general population)
lennox gaustat presentation associatons
drop attacks (atonic), tonic seizures or atypical abscence seizure with neurodevelopment arresst,/regression and a behaviour disorder
west syndrome other nae who what
infantile spasms 4-6m salaam, violent flexr spasms of head trunk and limns, lasting 12s, often multiple bursts of 20-30 spasms west syndrome+ infantile spasms + hypsarrythmia + reduced IQ
reflex anoxic sezuires who triggers presentation cause diagnosis
infants or toddlers, often first degree relative pain discomfort cold food fright fever cadiac asytoele from vagal inhibition EEG can sometimes recreated with ocular compression
juvenile myoclonic epilepsy
jerking , often upon waking in limbs charcateristic eeg response to treatment is good but wil often need lifelong therapy
assesment febrile seizure
no EEG needed find cause of fever
management epilespy in children
see doc refractory - ketogenic diet - cbd - vagal nerve stimulario advise - no baths - no swimming alone - beware photosensitivty/other triggers - beware alcohol/reduced sleep
febrile seizures definition prevalence
seizures accompanied by feevr in abscence of intracranial infection 3-6% of children , geentic component (10% risk if first degree relative had )
benign epilepsy with centrtemporal spikes
tonic clonic seizures or simple focal of face in sleep charcateristic eeg vast moajorty remit in adolescence
febrile seizures when what type prognosis (and facors)
usually early in viral infection geenralised tonic clonic , usually brief 30-40% will have multiple - younfer - occured early - low fevr - fhx
early onset beign occopital epilespy presentation eeg prognosi s
young child periods of strange eye movements, abscence, vomiting, autonomic features older children often visual disturnance and headache occipital discharge remits in childhood
