Seizure Disorders in Children

Seizure Disorders in Children - SeizureDisordersin Children...

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    Seizure Disorders in  Children Dr. Pushpa Raj Sharma FCPS Professor of Child Health Institute of Medicine
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Definitions Seizure: A sudden, involuntary, time-limited alteration in behavior, motor activity, autonomic function, consciousness, or sensation, accompanied by an abnormal electrical discharge in the brain
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Definitions Epilepsy: A condition in which an individual is predisposed to recurrent seizures because of a central nervous system disorder Status Epilepticus: More than thirty minutes of continuous seizure activity, or recurrent seizures without intercurrent recovery of consciousness
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Prevalence No data available in Nepal. Seizure disorders: 360/100,000 (India, Saha SP 2003). Prevalence of seizure disorder in children has been reported to be 350/100,000 (Gortmaker and Sappenfield, 1984). However, 3-5% of all children will have one or more seizures (Haslem, 2000). The incidence of epilepsy (new cases per year) has been reported to be 50/100,000, with 75% of people developing epilepsy doing so prior to 20 years of age (Holmes, 1992)
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Burden of the problem Per 100,000 people, there will be: 86 seizures in the first year of life 62 seizures between 1 and 5 years 50 seizures between 5 and 9 years 39 seizures between 10 and 14 years In over 65% of patients, epilepsy begins in childhood.
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Recurrent seizures during fever in an 24  month old History A 24 month old boy was seen in the KCH emergency room following a seizure accompanied by fever, his second in 6 months. The child had been well until the previous day, when parents notices fever for which he was take to a doctor who prescribed amoxicillin for the diagnosis of URTI. The following morning, the boy experienced a 2 minute generalized
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Seizure Disorders in Children - SeizureDisordersin Children...

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