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Management of epilepsy in children

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PS Deb
PS Deb

The document discusses the management of epilepsy in children. It covers the etiology, classification, clinical features and treatment of different types of childhood epilepsy including neonatal seizures, infantile spasms, Lennox-Gastaut syndrome, benign epilepsy of childhood, and febrile seizures. It also discusses diagnostic evaluation, choice of antiepileptic drugs, prognosis, and management of refractory seizures.

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Management of EPILEPSY in Children
Childhood Epilepsy ,[object Object],[object Object],[object Object],[object Object]
WHAT IS THE ETIOLOGY OF THE EPILEPSY ? INFANCY 1-6MONTHS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHAT IS THE ETIOLOGY OF THE EPILEPSY ? EARLY CHILDHOOD 6MONTHS TO 3YEARS ,[object Object],[object Object],[object Object],[object Object],[object Object]
WHAT IS THE ETIOLOGY OF THE EPILEPSY ? 3-10YEARS ,[object Object],[object Object],[object Object],[object Object]
WHAT IS THE ETIOLOGY OF THE EPILEPSY ? 10-18YEARS ,[object Object],[object Object],[object Object],[object Object]
Basic Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neonatal seizure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of neonatal seizure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infantile spasm (West’s syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Infantile spasm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lanox Gastaut Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benign Rolandic epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Occipital Epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electric status epilepticus during slow wave sleep (ESES) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired epileptic aphasia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Idiopathic Generalized Epilepsies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Childhood absence epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Juvenile absence epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Juvenile myoclonic epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epilepsy with generalized tonic clonic seizure on awakening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other IGE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Childhood myoclonic epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Progressive myoclonic epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Febrile Seizure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Febrile seizure Rx ,[object Object],[object Object],[object Object]
COMMON DIAGNOSTIC PROBLEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMMON DIAGNOSTIC PROBLEMS GENNERALIZED CONVULSIVE ATTACK ,[object Object],[object Object],[object Object],[object Object]
NON EPILEPTIC ATTACK DISORDER
LOSS OF AWARENESS (BLACKOUT) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SYNCOPE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TRANSIENT FOCAL NEUROLOGICAL DYSFUNCTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TRANSIENT PSYCHIC DISTURBANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What blood test in epilepsy? ,[object Object],[object Object],[object Object],[object Object],[object Object]
EEG in Epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When to do Neuroimaging? ,[object Object],[object Object],[object Object],[object Object]
CT or MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AED after first provoked seizure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to start drug treatment? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A. Partial seizures (without or with secondary generalization) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
B. Generalized tonic-clonic seizures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
C. Childhood absence epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
D. Juvenile myoclonic epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
E. Progressive myoclonic epilepsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
F. The Lennox-Gastaut and related syndromes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
G. Infantile spasms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
H. Benign epilepsy of childhood with centrotemporal spikes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I. Neonatal seizures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What drug to choose?
Drug level monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the chance of remission? ,[object Object],[object Object],[object Object]
Good prognostic signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bad prognostic signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When to stop treatment ,[object Object],[object Object],[object Object],[object Object]
Intractable seizures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New antiepileptic drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clobazam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gabapantine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lamotrigine ,[object Object],[object Object],[object Object],[object Object]
Topiramate ,[object Object],[object Object],[object Object],[object Object]
Status epilepticus causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Status epilepticus management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Status management cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Tic disorder
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Chorea and ballismus
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Hypertension and stroke
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Management of epilepsy in children

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  • 29. NON EPILEPTIC ATTACK DISORDER
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  • 49. What drug to choose?
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Notas del editor

  1. Polymorphic and poorly organized Fragmented
  2. A. Partial seizures (without or with secondary generalization) First choice: Carbamazepine, phenytoin Second choice: Gabapentin, valproate, lamotrigine, topiramate, vigabatrin, tiagabine Consider: Phenobarbital, primidone, clonazepam, clobazam, clorazepate, acetazolamide
  3. B. Generalized tonic-clonic seizures First choice: Valproate, phenytoin, carbamazepine Second choice: Phenobarbital, primidone Consider: Clonazepam, clobazam