儿童期癫痫发作课件.ppt

Seizures in Childhood
Neurology Chapter of IAP
Reference
Paediatrics & Child health
Coovadia and Wittenberg
-483
Lecture on AED
Neurology Chapter of IAP
Introduction
Convulsion associated with febrile disease
2-4% of all children before the age of 5 years
Symptomatic seizures
-1%
Epilepsy:
Recurrent unprovoked seizures
First year of life:
1,2/1 000
Childhood and adolescents:
0,5-1/10000
Neurology Chapter of IAP
Aetiology of Epilepsy
Specific aetiology
Identifiable in only 30% of cases
Idiopathic %
Congenital 20%
Trauma
HIE
Congenital brain anomalies
Trauma %
Infection %
Vascular %
Neoplastic %
Degenerative %
Neurology Chapter of IAP
Seizure type
Partial
(Only a portion
of the brain)
- Simple
(Normal consciousness)
- Complex
(Impaired consciousness)
Generalized
(Both hemispheres are
involved)
Neurology Chapter of IAP
Epilepsy classification
Clinical presentation is quite variable
age of onset
seizure type
interictal condition
EEG
e
Evaluate the:
the epileptic syndrome
Possible aetiology
The seizure type and syndrome type determine the
Specific appropriate treatment
Further evaluation
Neurology Chapter of IAP
Neurology Chapter of IAP
Main Periods according to Age
Neonates
Subtle, erratic, non-febrile
Infancy and early childhood
3 months to 3 years
Febrile seizures
Infantile spasms
Lennox Gastaut
Myoclonic seizures
Status epilepticus
plex
Neurology Chapter of IAP
Main Periods according to Age
Childhood to early adolescence
Cryptogenic
Absences
Benign rolandic epilepsy
Nine years to adulthood
Primary generalized epilepsy
Focal epilepsy with brain injury
Neurology Chapter of IAP