Childhood Epilepsy

Email Comment bookmark
Font : A-A+

Approach to a child with seizures (Refer Algorithm)

A. History:

  • A complete description of seizure type tonic, clonic, tonic-clonic, atonic,
    absence, myoclonic, sensory-motor generalized seizures and partial seizures simple complex, partial with secondary generalization and mixed seizures.
  • Details of aura, start of seizure, its spread, duration, automatism, loss of consciousness,
    post ictal weakness, timing of seizures, minor motor manifestations.
  • Severity of the episode, injury, resultant congnitive impairment after seizures, multiple seizure types, precipitating or triggering factors, average frequency of attacks, response to previous medications
  • Developmental history Family history, history of neonatal or febrile seizures, previous brain injury, and history of other neurologic or systemic disease.

B. Physical examination: Epilepsy should be examined as a symptom of progressive brain damage and specific etiological groups like the following identified
  • A neonate with neuro metabolic disorder, failure to thrive, vomiting, rash, odor etc
  • Dysmorphic facies, micro/macrocephaly
  • Neuro ectodermatosis depigmented spots, facial hemangiomas
  • Focal neurological deficit, raised intra cranial pressure
  • Neuro developmental delay, cerebral palsy, other neurogenetic disorders.
  • Mental retardation, hyperactivity.

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

CME Lessons

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor