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34General Pediatrics19 min read

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:

PatternThink of
Fever + brief generalized seizure in 6 mon

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