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34 - Pediatric Seizures

from SECTION V - PEDIATRIC NEUROLOGICAL EMERGENCIES

Published online by Cambridge University Press:  06 August 2009

Mont R. Roberts
Affiliation:
Sparrow Healthcare System Sparow Hospital/MSU Emergency Medicine Residency Program Lansing, Michigan
Rae R. Hanson
Affiliation:
Midelfort Clinic Eau Claire, Wisconsin
Sid M. Shah
Affiliation:
Michigan State University
Kevin M. Kelly
Affiliation:
Drexel University, Philadelphia
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Summary

The average age of childhood status epilepticus (SE) is under 3 years old. The acute management requires a planned treatment schedule and a specific time line. The duration of SE is the greatest risk to the patient; the longer SE lasts, the more difficult it is to treat. The three goals of treatment are to control seizures, to preserve vital functions, and to diagnose the underlying pathology. Absence SE, partial absence SE, or complex partial SE may present as nonconvulsive SE. Neonatal seizures occur in patients under 29 days old, and they are usually related to significant neurological disease. Pediatric patients are unique in that several characteristic epileptic syndromes have an age-dependent appearance, one or more characteristic seizure types, a natural history, and a prognosis. Some major syndromes include febrile seizures, infantile spasms, Lennox-Gastaut syndrome, and benign rolandic epilepsy (BRE).
Type
Chapter
Information
Principles and Practice of Emergency Neurology
Handbook for Emergency Physicians
, pp. 337 - 349
Publisher: Cambridge University Press
Print publication year: 2003

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References

American Academy of Pediatrics, Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures. Practice parameter: the neurodiagnostic evaluation of the child with a first simple febrile seizure. Pediatrics. 1996; 97(5): 769–72; 773–5
Bradford, J C. Evaluation of the patient with seizures: an evidence based approach. Emerg Med Clin North Am. 1999; 17(1): 203–20, ⅸ–ⅹGoogle Scholar
Dunn, D W. Status epilepticus in infancy and childhood. Neurol Clin. 1990; 8: 647–57Google Scholar
Fountain, N B. Midazolam treatment of acute and refractory status epilepticus. Clin Neuropharmacol. 1999; 22(5): 261–7Google Scholar
Hauser W A, Hesdorffer D C. Epilepsy: Frequency, Causes and Consequences. New York, NY: Demos Publications; 1990
Hauser, W A. Status epilepticus: epidemiologic considerations. Neurology. 1990; 40(suppl 12): 9–13Google Scholar
Hauser, W A. Status epilepticus: frequency, etiology, and neurologic sequelae. Adv Neurol. 1983; 34: 3–14Google Scholar
Hill, A. Neonatal seizures. Pediatr Rev. 2000; 21(4): 117–21Google Scholar
Hirtz, D. Practice parameter: evaluating a first nonfebrile seizure in children: report of the quality standards subcommittee of the American Academy of Neurology, The Child Neurology Society, and The American Epilepsy Society. Neurology. 2000; 55(5): 616–23Google Scholar
Painter M J, Gaus L M. Phenobarbital: clinical use. In: Levy R H, Mattson R H, Meldrum B S, eds. Antiepileptic Drugs. New York, NY: Raven Press; 1995
Roberts, M R, Eng-Borquin, J. Status epilepticus in children. Emerg Med Clin North Am. 1995; 13(2): 489–507Google Scholar
Sabo-Graham, T. Management of status epilepticus in children. Pediatr Rev. 1998; 19(9): 306–9Google Scholar

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  • Pediatric Seizures
    • By Mont R. Roberts, Sparrow Healthcare System Sparow Hospital/MSU Emergency Medicine Residency Program Lansing, Michigan, Rae R. Hanson, Midelfort Clinic Eau Claire, Wisconsin
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.035
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Pediatric Seizures
    • By Mont R. Roberts, Sparrow Healthcare System Sparow Hospital/MSU Emergency Medicine Residency Program Lansing, Michigan, Rae R. Hanson, Midelfort Clinic Eau Claire, Wisconsin
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.035
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Pediatric Seizures
    • By Mont R. Roberts, Sparrow Healthcare System Sparow Hospital/MSU Emergency Medicine Residency Program Lansing, Michigan, Rae R. Hanson, Midelfort Clinic Eau Claire, Wisconsin
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.035
Available formats
×