Dr. Dafalla Ahmed Babiker Jazan University
|
|
- Jeremy Bridges
- 6 years ago
- Views:
Transcription
1 Dr. Dafalla Ahmed Babiker Jazan University
2 change in motor activity and/or behaviour due to abnormal electrical activity in the brain. seizures in children either - provoked by somatic disorders originating outside the brain, such as high fever, infection, syncope, head trauma, hypoxia, toxins, or cardiac arrhythmias or - triggered recurrently from within the brain,this is called epilepsy(less than one third of seizures in children are caused by epilepsy)
3 epilepsy is considered to be present when two or more unprovoked seizures occur at an interval greater than 24hr apart within 6 month. lifetime incidence of epilepsy is 3% and more than half of cases begin in childhood. prognosis is generally good, but 10 20% have persistent seizures refractory to drugs
4 Motor seizures may be focal or generalized and - tonic-clonic - tonic (increased tone or rigidity) - clonic (rhythmic muscle contraction and relaxation) - myoclonic (shock like contraction of a muscle) - atonic (flaccidity or lack of movement during a convulsion)
5 The most common seizure disorder during childhood, generally have an excellent prognosis Be careful the underlying cause may be serious disease such as sepsis or bacterial meningitis. So the child must be carefully examined and appropriately investigated for the cause of the fever, especially when it is the first seizure There is genetic predisposition
6 Simple febrile seizures usually associated with a core temperature that increases rapidly to 39 C or more From 3 mo to 5 yr Lasts less than 15 min Once in 24 hr Usually in the 1 st 24 hr of the febrile illness Generalised tonic clonic Family history of febrile seizures (not necessary)
7 Complex febrile seizures Duration more than 15 min, recur more than once in 24 h, focal. children with simple febrile seizures are at no greater risk of later epilepsy
8 If any doubt exists about the possibility of meningitis, a lumbar puncture with examination of the cerebrospinal fluid (CSF) is indicated. If the child is less than 12 mo and the febrile seizure is complex strongly consider LP EEG may be useful for evaluating patients with an atypical feature or with other risk factors for later epilepsy
9 ABC. Benzodiazepine to control seizure careful search for the cause of the fever control the fever, by using antipyretics To reduce the risk of febrile seizure :- At the onset of each febrile illness, give oral diazepam,three times per day for 2 3 days? plus oral antipyretic.
10 First Seizure history before seizure during seizure detailed description after seizure look for life-threatening causes of seizures such as meningitis, systemic sepsis, head trauma, and ingestion of drugs family history of epilepsy, neurologic disorder, or history of seizure with fever
11 Physical examination Temperature, blood pressure CNS Fundus examination CVS Hepatosplenomegaly (metabolic or storage disease) Neurocutanous manifestations
12 serum electrolytes, toxicology screening, or urine and serum metabolic testing should be chosen based on individual clinical circumstances rather than on a routine basis Blood glucose level and calcium should be tested especially in infants.
13 EEG, is recommended for identification of specific focal abnormalities and/or epileptic syndromes Lumbar puncture is not recommended. Unless meningitis is suspected. Neuroimaging is generally not recommended unless there is an indication for it on neurologic examination. MRI is superior to CT scan Anticonvulsant medication is generally not recommended
14 Recurrent Seizures Two unprovoked seizures greater than 24 hours apart within 6 mo, suggest the presence of an epileptic disorder Seizures that occur during the early morning hours or with drowsiness, particularly during the initial phase of sleep, are common in childhood epilepsy.
15 irritability, mood swings, headache, and subtle personality changes may precede a seizure. Ask parents to act out or re-create the seizure, it is much more accurate than the verbal description Ask about the frequency, time of day, precipitating factors
16 A prolonged personality change or intellectual deterioration may suggest a degenerative disease of the CNS constitutional symptoms, including vomiting and failure to thrive in infants, might indicate a primary metabolic disorder History of anticonvulsant medication Family history of epilepsy Impact on schooling, activities, psychosocially
17 full physical examination especially ophthalmologic and neurologic examination, can provide information about the presence of increased intracranial pressure. neurocutaneous or neuromatabolic syndromes. and structural brain abnormalities including malformations, injuries, infections, or tumors.
18 The EEG is indicated in all cases of epilepsy and is useful for determining the type of epilepsy and the future prognosis MRI is indicated in children with newly diagnosed epilepsy, especially for those with neurologic deficits, partial seizures, or focal EEG
19 . PARTIAL SEIZURES Simple partial (consciousness retained) Motor Sensory Autonomic Psychic Complex partial (consciousness impaired) Simple partial, followed by impaired consciousness Consciousness impaired at onset GENERALIZED SEIZURES Absences Typical Atypical Generalized tonic-clonic Tonic Clonic Myoclonic Atonic Infantile spasms UNCLASSIFIED SEIZURES Partial seizures with secondary generalization
20 Large proportion of childhood seizures, up to 40% classified as simple or complex Aura is more frequent in partial than in generalized Simple Partial Seizures should be differentiated from ticks Lip smacking, chewing, swallowing, and excessive salivation are common features of complex Partial Seizures
21 Spreading of the epileptiform discharge during CPS can result in secondary generalization with a tonic-clonic convulsion
22 common type of partial epilepsy in childhood and has an excellent prognosis peak age of onset of 9 10 yr motor signs and sensory symptoms are often confined to the face Unilateral tonic-clonic contractures of the lower face and clonic movements or paresthesias of the ipsilateral extremities. Consciousness may be intact or impaired, and the partial seizure may proceed to secondary generalization.
23 BPEC occurs during sleep in 75% of patients The EEG pattern is diagnostic for BPEC and is characterized by a repetitive spike focus localized in the centrotemporal or rolandic area Carbamazepine is the preferred drug, which is continued for at least 2 yr or until yr of age, when spontaneous remission of BPEC usually occurs.
24 Absence Seizures. Simple (typical) absence (petit mal) seizures are characterized by a sudden cessation of motor activity or speech with a blank facial expression and flickering of the eyelids These seizures, which are uncommon before age 5 yr, are more prevalent in girls No aura, no postictal state Lasts for less than 30sec
25 Hyperventilation for 3 4 min routinely produces an absence seizure. The EEG shows a typical 3/sec spike and generalized wave discharge
26 Generalized Tonic-Clonic Seizures very common may follow a partial seizure with a focal onset (secondary generalization) or from the start. They may be associated with an aura, suggesting a focal origin of the epileptiform discharge Patients suddenly lose consciousness, may bite their tongue. Loss of sphincter control, particularly the bladder.
27 Postictally, children initially are semicomatose and typically remain in a deep sleep from 30min to 2h Idiopathic seizure is a term applied when the cause of a generalized seizure is unknown
28 Myoclonic Epilepsies of Childhood This disorder is characterized by repetitive seizures consisting of brief, often symmetric muscular contractions with loss of body tone and falling. 5 subgroupes - Benign myoclonus of infancy - Typical myoclonic epilepsy of early childhood. - Complex myoclonic epilepsies - Juvenile myoclonic epilepsy (janz syndrome). - Progressive myoclonic epilepsies
29 Infantile Spasm (west syndrome) Usually begin between the ages of 4 and 8 mo characterized by brief symmetric contractions of the neck, trunk, and extremities three types of infantile spasms: flexor, extensor, and mixed which is the most common type Clusters of seizures may persist for minutes EEG that is associated with infantile spasms is referred to as hypsarrhythmia
30 Infantile spasms are typically classified into two groups: cryptogenic and symptomatic Infants with cryptogenic infantile spasms have a good prognosis, whereas those with the symptomatic type have an 80 90% risk of mental retardation
31 Ensure that the patient has a seizure disorder and not a condition that mimics epilepsy If 1 st attack with negative family history, negative result on a neurologic examination and EEG usually supports the approach of watchful waiting rather than administration of an anticonvulsant. Approximately 70% of these children will not experience another convulsion. Family education
32 The drug of choice depends on the classification of the seizure use of only one drug for the control of seizures. The drug is increased slowly until seizure controled,if not controled add an other drug as adjunctive therapy If complete seizure control is achieved by an anticonvulsant, a minimum of 2 seizurefree years for a patient with no risk factors is adequate and safe period of treatment. then tapper gradually over 3-6 mo
33 risk factors includ - age greater than 12 yr at onset - neurologic dysfunction (motor handicap or mental retardation), a history of prior neonatal seizures, - numerous seizures before control is achieved
34 Carbamazepine Generalized tonic-clonic, Partial Clonazepam infantil spasm,absence, Myoclonic Ethosuximide May increase tonic-clonic seizures, used for Absence Gabapentin Adjuntive therapy Lamotrigine Adjunctive therapy Nitrazepam Absence, Myoclonic, Infantile spasms Phenobarbital Generalized tonic-clonic, Partial, Status epilepticus Phenytoin Generalized tonic-clonic,partial, Status epilepticus
35 Valproic acid Generalized tonic-clonic,absence Myoclonic,Partia Vigabatrin,Infantile spasms,adjunctive therapy
36 Status epilepticus is defined as a continuous convulsion lasting longer than 30 min or the occurrence of many convulsions between which there is no return of consciousness
37 Treatment :- in the ICU - ABC -pulse, temperature, respirations, and blood pressure are recorded - gentle suction - oxygen face mask,ambu bag, assisted ventilation -If hypoglycemia is confirmed by Dextrostix, a rapid infusion of 5mL/kg of 10% dextrose
38 Drugs should always be administered IV in the management of status epilepticus benzodiazepine (diazepam, lorazepam, or midazolam) loading dose of phenytoin infusion (ECG) In some centers, loading dose of phenobarbital is given before phenytoin paraldehyde, a diazepam infusion, barbiturate coma (thiopental)or general anesthesia (halothane, isoflurane)
39 when you insert the IV line blood is obtained for a CBC and electrolytes (including calcium, phosphorus, and magnesium), glucose, creatinine, lactate, and anticonvulsant levels, if indicated Blood and urine may be obtained for metabolic studies and toxicology
40 Examination of the CSF is if meningitis or encephalitis is considered, unless there is a contraindication evidence of : trauma; papilledema, a bulging anterior fontanel, neurologic signs suggesting increased ICP; manifestations of sepsis or meningitis
41 Thank you
Neuromuscular Disease(2) Epilepsy. Department of Pediatrics Soochow University Affiliated Children s Hospital
Neuromuscular Disease(2) Epilepsy Department of Pediatrics Soochow University Affiliated Children s Hospital Seizures (p130) Main contents: 1) Emphasize the clinical features of epileptic seizure and epilepsy.
More informationPediatrics. Convulsive Disorders in Childhood
Pediatrics Convulsive Disorders in Childhood Definition Convulsion o A sudden, violent, irregular movement of a limb or of the body o Caused by involuntary contraction of muscles and associated especially
More informationObjectives. Amanda Diamond, MD
Amanda Diamond, MD Objectives Recognize symptoms suggestive of seizure and what those clinical symptoms represent Understand classification of epilepsy and why this is important Identify the appropriate
More informationThe Fitting Child. A/Prof Alex Tang
The Fitting Child A/Prof Alex Tang Objective Define relevant history taking and physical examination Classify the types of epilepsy in children Demonstrate the usefulness of investigations Define treatment
More information1/31/2009. Paroxysmal, uncontrolled electrical discharge of neurons in brain interrupting normal function
Paroxysmal, uncontrolled electrical discharge of neurons in brain interrupting normal function In epilepsy abnormal neurons undergo spontaneous firing Cause of abnormal firing is unclear Firing spreads
More informationStatus Epilepticus in Children
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Status Epilepticus in Children. These podcasts are designed to give medical students an overview of key topics in pediatrics.
More informationICD-9 to ICD-10 Conversion of Epilepsy
ICD-9-CM 345.00 Generalized nonconvulsive epilepsy, without mention of ICD-10-CM G40.A01 Absence epileptic syndrome, not intractable, with status G40.A09 Absence epileptic syndrome, not intractable, without
More informationIs it epilepsy? Does the patient need long-term therapy?
Is it a seizure? Definition Transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain Is it provoked or unprovoked? Is it epilepsy? Does the
More informationEpilepsy 7/28/09! Definitions. Classification of epilepsy. Epidemiology of Seizures and Epilepsy. International classification of epilepsies
Definitions Epilepsy Dr.Yotin Chinvarun M.D., Ph.D. Seizure: the clinical manifestation of an abnormal and excessive excitation of a population of cortical neurons Epilepsy: a tendency toward recurrent
More informationThere are several types of epilepsy. Each of them have different causes, symptoms and treatment.
1 EPILEPSY Epilepsy is a group of neurological diseases where the nerve cell activity in the brain is disrupted, causing seizures of unusual sensations, behavior and sometimes loss of consciousness. Epileptic
More informationDavid Dredge, MD MGH Child Neurology CME Course September 9, 2017
David Dredge, MD MGH Child Neurology CME Course September 9, 2017 } 25-40,000 children experience their first nonfebrile seizure each year } AAN/CNS guidelines developed in early 2000s and subsequently
More informationInitial Treatment of Seizures in Childhood
Initial Treatment of Seizures in Childhood Roderic L. Smith, MD, Ph.D. Pediatric Neurology Clinic of Alaska,PC Incidence of Seizures Overall 5% by age 20 yrs. Lifetime risk= 5-10% CNS Infections= 5% TBI=10%
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Absence seizures, 6 in childhood, 95 Adults, seizures and status epilepticus in, management of, 34 35 with first-time seizures. See Seizure(s),
More informationChild-Youth Epilepsy Overview, epidemiology, terminology. Glen Fenton, MD Professor, Child Neurology and Epilepsy University of New Mexico
Child-Youth Epilepsy Overview, epidemiology, terminology Glen Fenton, MD Professor, Child Neurology and Epilepsy University of New Mexico New onset seizure case An 8-year-old girl has a witnessed seizure
More informationOn completion of this chapter you should be able to: list the most common types of childhood epilepsies and their symptoms
9 Epilepsy The incidence of epilepsy is highest in the first two decades of life. It falls after that only to rise again in late life. Epilepsy is one of the most common chronic neurological condition
More informationEpilepsy and Epileptic Seizures
Epilepsy and Epileptic Seizures Petr Marusič Dpt. of Neurology Charles University, Second Faculty of Medicine Motol University Hospital Diagnosis Steps Differentiation of nonepileptic events Seizure classification
More informationEpilepsy. Annual Incidence. Adult Epilepsy Update
Adult Epilepsy Update Annual Incidence J. Layne Moore, MD, MPH Associate Professor Department of Neurology and Pharmacy Director, Division of Epilepsy The Ohio State University Used by permission Health
More informationEpilepsy CASE 1 Localization Differential Diagnosis
2 Epilepsy CASE 1 A 32-year-old man was observed to suddenly become unresponsive followed by four episodes of generalized tonic-clonic convulsions of the upper and lower extremities while at work. Each
More informationNeonatal Seizure. Dr.Nawar Yahya. Presented by: Sarah Khalil Zeina Shamil Zainab Waleed Zainab Qahtan. Supervised by:
Neonatal Seizure Supervised by: Dr.Nawar Yahya Presented by: Sarah Khalil Zeina Shamil Zainab Waleed Zainab Qahtan Objectives: What is neonatal seizure Etiology Clinical presentation Differential diagnosis
More informationFEBRILE SEIZURES. IAP UG Teaching slides
FEBRILE SEIZURES 1 DEFINITION Febrile seizures are seizures that occur between the age of 6 and 60 months with a temperature of 38 C or higher, that are not the result of central nervous system infection
More informationDisclosure. Outline. Pediatric Epilepsy And Conditions That Mimic Seizures 9/20/2016. Bassem El-Nabbout, MD
Pediatric Epilepsy And Conditions That Mimic Seizures Bassem El-Nabbout, MD Assistant Professor, Pediatric Neurology Board Certified in Neurology, and Headache Medicine. Disclosure I have no actual or
More informationMeasures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity
Measures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity Seizures in the School Setting Meghan Candee, MD MS Assistant
More informationAPPENDIX K Pharmacological Management
1 2 3 4 APPENDIX K Pharmacological Management Table 1 AED options by seizure type Table 1 AED options by seizure type Seizure type First-line AEDs Adjunctive AEDs Generalised tonic clonic Lamotrigine Oxcarbazepine
More informationCrackCast Episode 18 Seizures
CrackCast Episode 18 Seizures Episode overview: 1) Define status epilepticus 2) List the doses of common medications used for status epilepticus 3) List 10 differential diagnoses for seizures 4) List 10
More informationTalk outline. Some definitions. Emergency epilepsy now what? Recognising seizure types. Dr Richard Perry. Management of status epilepticus
Emergency epilepsy now what? Dr Richard Perry Imperial College NHS Trust Imperial College Talk outline Recognising seizure types Management of status epilepticus Some definitions Epileptic seizure A clinical
More informationNEONATAL SEIZURES-PGPYREXIA REVIEW
NEONATAL SEIZURES-PGPYREXIA REVIEW This is a very important Postgraduate topics will few Q asked in undergraduation also. Lets see them in detail. References: 1.Volpe s Neurology of newborn 2.Nelson s
More informationEpilepsy: diagnosis and treatment. Sergiusz Jóźwiak Klinika Neurologii Dziecięcej WUM
Epilepsy: diagnosis and treatment Sergiusz Jóźwiak Klinika Neurologii Dziecięcej WUM Definition: the clinical manifestation of an excessive excitation of a population of cortical neurons Neurotransmitters:
More informationOverview: Idiopathic Generalized Epilepsies
Epilepsia, 44(Suppl. 2):2 6, 2003 Blackwell Publishing, Inc. 2003 International League Against Epilepsy Overview: Idiopathic Generalized Epilepsies Richard H. Mattson Department of Neurology, Yale University
More informationIntroduction. 1 person in 20 will have an epileptic seizure at some time in their life
Introduction 1 person in 20 will have an epileptic seizure at some time in their life Epilepsy is diagnosed on the basis of two or more epileptic seizures. Around 450,000 people in the UK have epilepsy
More informationFebrile seizures. Olivier Dulac. Hôpital Necker-Enfants Malades, Université Paris V, INSERM U663
Febrile seizures Olivier Dulac Hôpital Necker-Enfants Malades, Université Paris V, INSERM U663 olivier.dulac@nck.aphp.fr Definition Seizures precipitated by fever that is not due to an intracranial infection
More informationIntroduction to seizure and epilepsy
Introduction to seizure and epilepsy 1 Epilepsy : disorder of brain function characterized by a periodic and unpredictable occurrence of seizures. Seizure : abnormal increased electrical activity in the
More informationEpilepsy 101. Russell P. Saneto, DO, PhD. Seattle Children s Hospital/University of Washington November 2011
Epilepsy 101 Russell P. Saneto, DO, PhD Seattle Children s Hospital/University of Washington November 2011 Specific Aims How do we define epilepsy? Do seizures equal epilepsy? What are seizures? Seizure
More informationAnticonvulsants Antiseizure
Anticonvulsants Antiseizure Seizure disorders Head trauma Stroke Drugs (overdose, withdrawal) Brain tumor Encephalitis/ Meningitis High fever Hypoglycemia Hypocalcemia Hypoxia genetic factors Epileptic
More informationEpilepsy 101. Recognition and Care of Seizures and Emergencies Patricia Osborne Shafer RN, MN. American Epilepsy Society
Epilepsy 101 Recognition and Care of Seizures and Emergencies Patricia Osborne Shafer RN, MN American Epilepsy Society Objectives Recognize generalized and partial seizures. Demonstrate basic first aid
More informationAntiepileptic agents
Antiepileptic agents Excessive excitability of neurons in the CNS Abnormal function of ion channels Spread through neural networks Abnormal neural activity leads to abnormal motor activity Suppression
More informationUpdate in Pediatric Epilepsy
Update in Pediatric Epilepsy Cherie Herren, MD Assistant Professor OUHSC, Department of Neurology September 20, 2018 Disclosures None Objectives 1. Identify common pediatric epilepsy syndromes 2. Describe
More informationSEIZURE IN CHILDREN. IAP UG Teaching slides
SEIZURE IN CHILDREN 1 DEFINITION Seizure Sudden paroxysmal transitory disturbance in brain function which starts suddenly, stops spontaneously and shows a tendency to recur. Manifestations can include
More informationManagement of the Fitting Child. Dr Mergan Naidoo
Management of the Fitting Child Dr Mergan Naidoo Seizures A seizure is a change in movement, attention or level of awareness that is sustained or repetitive and occurs as a result of abnormal neuronal
More informationPrescribing and Monitoring Anti-Epileptic Drugs
Prescribing and Monitoring Anti-Epileptic Drugs Mark Granner, MD Clinical Professor and Vice Chair for Clinical Programs Director, Iowa Comprehensive Epilepsy Program Department of Neurology University
More informationClassification of Seizures. Generalized Epilepsies. Classification of Seizures. Classification of Seizures. Bassel F. Shneker
Classification of Seizures Generalized Epilepsies Bassel F. Shneker Traditionally divided into grand mal and petit mal seizures ILAE classification of epileptic seizures in 1981 based on clinical observation
More informationManagement of a child after a first afebrile seizure(s)
Management of a child after a first afebrile seizure(s) Colin Dunkley, Hemant Kulkarni, William Whitehouse, Children s Epilepsy Workstream in Trent (CEWT) Steering Group. (Based on an adaptation of Childhood
More informationEpilepsy the Essentials
INSTITUTE OF NEUROLOGY DCEE / NSE Epilepsy the Essentials Fergus Rugg-Gunn Consultant Neurologist Dept of Clinical and Experimental Epilepsy Institute of Neurology, University College London Epilepsy Society
More informationEpilepsy. Epilepsy can be defined as:
Epilepsy Epilepsy can be defined as: A neurological condition causing the tendency for repeated seizures of primary cerebral origin Epilepsy is currently defined as a tendency to have recurrent seizures
More informationEEG in Epileptic Syndrome
EEG in Epileptic Syndrome Surachai Likasitwattanakul, M.D. Division of Neurology, Department of Pediatrics Faculty of Medicine, Siriraj Hospital Mahidol University Epileptic syndrome Electroclinical syndrome
More information*Pathophysiology of. Epilepsy
*Pathophysiology of Epilepsy *Objectives * At the end of this lecture the students should be able to:- 1.Define Epilepsy 2.Etio-pathology of Epilepsy 3.Types of Epilepsy 4.Role of Genetic in Epilepsy 5.Clinical
More informationEpilepsy 101. Aileen Rodriguez ARNP-BC. Comprehensive Epilepsy Program
Epilepsy 101 Aileen Rodriguez ARNP-BC Comprehensive Epilepsy Program Aileen.Rodriguez@mch.com About Me: 2006 BSN from UM School of Nursing Started working @ MCH (3 south nights)july 2006 Worked Days shift
More informationWHOLE LOTTA SHAKIN GOIN ON
WHOLE LOTTA SHAKIN GOIN ON ADAM M. YATES, MD FACEP ASSOCIATE CHIEF OF EMERGENCY SERVICES UPMC MERCY SEIZURE DEFINITIONS Partial(focal) only involves part of the brain General Involves entire brain Simple
More informationChild Neurology. The Plural. of anecdote. is not evidence. University of Texas Health Science Center at San Antonio
Child Neurology Management of Seizure Disorders The stated goal of advocacy groups for patients with seizures, is to have the patient seizure free. S W Atkinson, MD Management of When to pharmacologically
More informationEpilepsy DOJ Lecture Masud Seyal, M.D., Ph.D. Department of Neurology University of California, Davis
Epilepsy DOJ Lecture - 2005 Masud Seyal, M.D., Ph.D. Department of Neurology University of California, Davis Epilepsy SEIZURE: A temporary dysfunction of the brain resulting from a self-limited abnormal
More informationImages have been removed from the PowerPoint slides in this handout due to copyright restrictions.
Seizures Seizures & Status Epilepticus Seizures are episodes of disturbed brain activity that cause changes in attention or behavior. Donna Lindsay, MN RN, CNS-BC, CCRN, CNRN Neuroscience Clinical Nurse
More informationEpilepsy. Hyunmi Choi, M.D., M.S. Columbia Comprehensive Epilepsy Center The Neurological Institute. Seizure
Epilepsy Hyunmi Choi, M.D., M.S. Columbia Comprehensive Epilepsy Center The Neurological Institute Seizure Symptom Transient event Paroxysmal Temporary physiologic dysfunction Caused by self-limited, abnormal,
More informationChapter 15. Media Directory. Convulsion. Seizures. Epilepsy. Known Causes of Seizures. Drugs for Seizures
Chapter 15 Drugs for Seizures Slide 43 Slide 45 Media Directory Diazepam Animation Valproic Acid Animation Upper Saddle River, New Jersey 07458 All rights reserved. Seizures Convulsion Abnormal or uncontrolled
More informationIn our patients the cause of seizures can be broadly divided into structural and systemic causes.
Guidelines for the management of Seizures Amalgamation and update of previous policies 7 (Seizure guidelines, ND, 2015) and 9 (Status epilepticus, KJ, 2011) Seizures can occur in up to 15% of the Palliative
More informationSeizures explained. What is a seizure? Triggers for seizures
Seizures explained What is a seizure? A seizure is a sign of a temporary disruption in the brain s electrical activity. Billions of brain cells pass messages to each other and these affect what we say
More informationAMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY, INC. SUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE
SUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE 2014 Content Blueprint (November 26, 2012) Number of questions: 200 I. Classification 7 9% II. Routine EEG 16 20% III. Evaluation 22 26% IV.
More informationContemporary Developments in Childhood Epilepsy Management. Olivia O Mahony, Cork University Hospital, Cork, and Mercy University Hospital
Contemporary Developments in Childhood Epilepsy Management Olivia O Mahony, Cork University Hospital, Cork, and Mercy University Hospital Developments in Epilepsy Care Standardised epilepsy care using
More informationObjectives / Learning Targets: The learner who successfully completes this lesson will be able to demonstrate understanding of the following concepts:
Boone County Fire District EMS Education-Paramedic Program EMS 270 Medical Cases-Seizures Resources Seizures screencast Seizures Flowchart and Seizures Flowchart Video Explanation Objectives / Learning
More informationCase 2: Epilepsy A 19-year-old college student comes to student health services complaining of sporadic loss of memory. The periods of amnesia occur
Case 2: Epilepsy A 19-year-old college student comes to student health services complaining of sporadic loss of memory. The periods of amnesia occur while the student is awake and occasionally in class.
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Neurology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Neurology 1. GOAL: Understand the role of the pediatrician in preventing neurological diseases, and in counseling and screening
More informationSUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE Content Blueprint (December 21, 2015)
SUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE 2016 Content Blueprint (December 21, 2015) Number of questions: 200 1. Classification 8-12% 2. Routine EEG 16-20% 3. Evaluation 23-27% 4. Management
More informationManagement of Complex Febrile Seizures
Management of Complex Febrile Seizures An 13 month old girl presents to the ED after having a shaking episode at home. Mom describes shaking of both arms and legs, lasting 20 minutes. The child has no
More informationElectroencephalography. Role of EEG in NCSE. Continuous EEG in ICU 25/05/59. EEG pattern in status epilepticus
EEG: ICU monitoring & 2 interesting cases Electroencephalography Techniques Paper EEG digital video electroencephalography Dr. Pasiri Sithinamsuwan PMK Hospital Routine EEG long term monitoring Continuous
More informationIdiopathic epilepsy syndromes
1 Idiopathic epilepsy syndromes PANISRA SUDACHAN, M.D. Pe diatric Neuro lo gis t Pediatric Neurology Department Pras at Neuro lo gic al Institute Epilepsy course 20 August 2016 Classification 2 1964 1970
More informationJanuary 26, Montgomery County Regional Outpatient Center Dietary Therapies Program (Main Hospital) Comprehensive Pediatric Epilepsy Program
First time Seizure and New onset Epilepsy Stirred not shaken January 26, 2017 First time Seizure and New onset Epilepsy Amy Kao, MD Children s National Health System Center for Neuroscience and Behavioral
More informationIdiopathic epilepsy syndromes
Idiopathic epilepsy syndromes PANISRA SUDACHAN, M.D. Pediatric Neurologist Pediatric Neurology Department Prasat Neurological Institue Epilepsy course 26 August 2017 Classification 1964 1970 1981 1989
More informationEpilepsy and Epileptic Syndromes Cases Presented at Neuropediatricclinic of Mother Theresa University Hospital Center, Tirana,
Epilepsy and Epileptic Syndromes Cases Presented at Neuropediatricclinic of Mother Theresa University Hospital Center, Tirana, 2012-2014 Afërdita Tako Kumaraku, Aida Bushati, Agim Gjikopulli, Renald Mecani,
More informationElectroclinical Syndromes Epilepsy Syndromes. Angel W. Hernandez, MD Division Chief, Neurosciences Helen DeVos Children s Hospital Grand Rapids, MI
Electroclinical Syndromes Epilepsy Syndromes Angel W. Hernandez, MD Division Chief, Neurosciences Helen DeVos Children s Hospital Grand Rapids, MI Disclosures Research Grants: NIH (NINDS) Lundbeck GW Pharma
More informationROLE OF EEG IN EPILEPTIC SYNDROMES ASSOCIATED WITH MYOCLONUS
Version 18 A Monthly Publication presented by Professor Yasser Metwally February 2010 ROLE OF EEG IN EPILEPTIC SYNDROMES ASSOCIATED WITH MYOCLONUS EEG is an essential component in the evaluation of epilepsy.
More informationNATIONAL INSTITUTE FOR CLINICAL EXCELLENCE. Final Appraisal Determination. Newer drugs for epilepsy in children
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guidance 1.1 The newer antiepileptic drugs gabapentin, lamotrigine, oxcarbazepine, tiagabine, topiramate, and vigabatrin (as an adjunctive therapy for partial
More informationDiagnosis, Assessment and Evaluation for Seizures
Lehigh Valley Health Network LVHN Scholarly Works Neurology Update for the Non-Neurologist 2013 Neurology Update for the Non-Neurologist Feb 20th, 7:40 PM - 8:10 PM Diagnosis, Assessment and Evaluation
More informationEpilepsy and EEG in Clinical Practice
Mayo School of Professional Development Epilepsy and EEG in Clinical Practice November 10-12, 2016 Hard Rock Hotel at Universal Orlando Orlando, FL Course Directors Jeffrey Britton, MD and William Tatum,
More informationRefractory Seizures. Dr James Edwards EMCORE May 30th 2014
Refractory Seizures Dr James Edwards EMCORE May 30th 2014 Refractory Seizures Seizures are a common presentation to the ED and some patients will have multiple seizures or have a reduced level of consciousness
More informationModule 2: Different epilepsy syndromes
Module 2: Different epilepsy syndromes By the end of this module the learner will: Understand the use of epilepsy as an umbrella term Explain different types of epilepsy and the associated symptoms Be
More informationNeurological Emergencies. Aaron J. Katz, AEMT-P, CIC
Neurological Emergencies Aaron J. Katz, AEMT-P, CIC www.es26medic.net 2013 1 Stroke ( CVA ) CerebroVascular Accident Brain Attack Brain damage caused by a blockage of blood to a specific area of the brain
More informationDiagnosing Epilepsy in Children and Adolescents
2019 Annual Epilepsy Pediatric Patient Care Conference Diagnosing Epilepsy in Children and Adolescents Korwyn Williams, MD, PhD Staff Epileptologist, BNI at PCH Clinical Assistant Professor, Department
More information2007 UCB Pharma SA. All rights reserved. GLOSSARY OF TERMS
2007 UCB Pharma SA. All rights reserved. GLOSSARY OF TERMS Absence Seizure A type of generalised seizure usually seen in children, characterised by transient impairment or loss of consciousness usually
More informationProvide specific counseling to parents and patients with neurological disorders, addressing:
Neurology Description: The Pediatric Neurology elective will give the resident the opportunity to learn how to obtain an appropriate history and perform a complete neurologic exam. Four to five half days
More informationThe epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care
The epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care Issued: January 2012 guidance.nice.org.uk/cg137 NHS Evidence has accredited the process
More informationIdiopathic epilepsy syndromes
Idiopathic epilepsy syndromes Kamornwan Katanyuwong MD. Chiangmai University Hospital EST, July 2009 Diagram Sylvie Nyugen The Tich, Yann Pereon Childhood absence epilepsy (CAE) Age : onset between 4-10
More informationEpilepsy. Seizures and Epilepsy. Buccal Midazolam vs. Rectal Diazepam for Serial Seizures. Epilepsy and Seizures 6/18/2008
Seizures and Epilepsy Paul Garcia, M.D. UCSF Epilepsy Epileptic seizure: the physical manifestation of aberrant firing of brain cells Epilepsy: the tendency to recurrent, unprovoked epileptic seizures
More informationUNDERSTANDING PANAYIOTOPOULOS SYNDROME. Colin Ferrie
UNDERSTANDING PANAYIOTOPOULOS SYNDROME Colin Ferrie 1 CONTENTS 2 WHAT IS PANAYIOTOPOULOS SYNDROME? 4 EPILEPSY 5 SEIZURES 6 DIAGNOSIS 8 SYMPTOMS 8 EEG 8 TREATMENT 10 PROGNOSIS DEFINED. ERROR! BOOKMARK NOT
More informationIdiopathic Epileptic Syndromes
Idiopathic Epileptic Syndromes Greek words idios = self, own and personal pathic = suffer Kamornwan Katanuwong MD Chiangmai University Hospital 1 st Epilepsy Camp, Hua Hin 20 th August 2010 Is a syndrome
More informationDravet syndrome : Clinical presentation, genetic investigation and anti-seizure medication. Bradley Osterman MD, FRCPC, CSCN
Dravet syndrome : Clinical presentation, genetic investigation and anti-seizure medication Bradley Osterman MD, FRCPC, CSCN Objectives Learn about the typical early clinical presentation of Dravet syndrome
More information2. Area of the brain affected by the seizures.
Learning Through Storms When discussing learning, we sometimes refer to cognition, or one s ability to think, learn and use information. Seizures can impact cognition, learning and behaviour in a variety
More informationNEONATAL SEIZURES. Introduction
Introduction NEONATAL SEIZURES Definition: Sudden, paroxysmal depolarisation of a group of neurones with transient alteration in neurological state. Possibly abnormal motor, sensory or autonomic activity
More informationOutline. What is a seizure? What is epilepsy? Updates in Seizure Management Terminology, Triage & Treatment
Outline Updates in Seizure Management Terminology, Triage & Treatment Joseph Sullivan, MD! Terminology! Videos of different types of seizures! Diagnostic evaluation! Treatment options! Acute! Maintenance
More informationThe Diagnostic Detective: Epilepsy
The Diagnostic Detective: Epilepsy Some Facts About Epilepsy and Its Causes Seizures are the most common neurologic disorders affecting children 5% of children have a seizure during childhood There are
More informationIdiopathic epilepsy syndromes
Idiopathic epilepsy syndromes PANISRA SUDACHAN, M.D. Pediatric Neurologist Pediatric Neurology Department Prasat Neurological Institue Epilepsy course 8 September 2018 Outline of topic Definition Idiopathic
More informationClassification of Epilepsy: What s new? A/Professor Annie Bye
Classification of Epilepsy: What s new? A/Professor Annie Bye The following material on the new epilepsy classification is based on the following 3 papers: Scheffer et al. ILAE classification of the epilepsies:
More informationSeizures. What is a seizure? How does it occur?
Seizures What is a seizure? A seizure is a symptom, not a disease. It happens when nerve cells in the brain function abnormally and there is a sudden abnormal electrical signal in the brain. The seizure
More informationIntroduction. Clinical manifestations. Historical note and terminology
Epilepsy with myoclonic absences Douglas R Nordli Jr MD ( Dr. Nordli of University of Southern California, Keck School of Medicine has no relevant financial relationships to disclose. ) Jerome Engel Jr
More informationThe epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care
The epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care Issued: January 2012 last modified: January 2015 guidance.nice.org.uk/cg137 NICE has
More informationNeonatal Seizure Cases. Courtney Wusthoff, MD MS Assistant Professor, Neurology Neurology Director, LPCH Neuro NICU
Neonatal Seizure Cases Courtney Wusthoff, MD MS Assistant Professor, Neurology Neurology Director, LPCH Neuro NICU Disclosures I have no conflicts of interest I will discuss off-label use of anti-epileptic
More informationCEWT (Children s Epilepsy Workstream in Trent) Guidelines process.
ttingham Children s Hospital ttingham University Hospitals Seizure with Fever Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author)
More informationDisclosure Age Hauser, Epilepsia 33:1992
Pediatric Epilepsy Syndromes Gregory Neal Barnes MD/PhD Assistant Professor of Neurology and Pediatrics Director, Pediatric Epilepsy Monitoring Unit Vanderbilt University Medical Center Disclosure Investigator:
More informationCANINE EPILEPSY. Types of epilepsy: Types of seizures:
CANINE EPILEPSY Epilepsy is found in all breeds and mixed breeds of dogs. The prevalence of epilepsy in the general dog population has been estimated at 0.5 to 5.7%. Seizures can be severe and frequent
More informationJeffrey W Boyle, MD, PhD Avera Medical Group Neurology Sioux Falls, SD
Jeffrey W Boyle, MD, PhD Avera Medical Group Neurology Sioux Falls, SD Disclosures: None Objectives Recognize the incidence of seizure and epilepsy in the US population Appreciate the differences in seizure
More informationEpilepsy Specialist Symposium Treatment Algorithms in the Diagnosis and Treatment of Epilepsy
Epilepsy Specialist Symposium Treatment Algorithms in the Diagnosis and Treatment of Epilepsy November 30, 2012 Fred Lado, MD, Chair Montefiore Medical Center Albert Einstein College of Medicine Bronx,
More informationEpilepsy management What, when and how?
Epilepsy management What, when and how? J Helen Cross UCL-Institute of Child Health, Great Ormond Street Hospital for Children, London, & National Centre for Young People with Epilepsy, Lingfield, UK What
More informationSpeciality: Neurosciences:
Afebrile Seizures Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Date of submission July 2014 Date
More information