Epilepsy in children
1. Big picture
Epilepsy in children is not just “a child who had a seizure.” A seizure is a single event; epilepsy is a tendency to have recurrent unprovoked seizures.
The exam approach is:
Was it really a seizure? Was it provoked or unprovoked? What seizure type? What epilepsy syndrome? Is there an emergency cause? Does the child need antiseizure medication?
Most important pediatric exam patterns:
| Pattern | Think of |
|---|---|
| Fever + brief generalized seizure in 6 mon |
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