Pediatr. praxi. 2024;25(5):282-285 | DOI: 10.36290/ped.2024.054
Convulsions - diagnosis and treatment
- Oddělení urgentního příjmu a LPS dětí, FN Motol, Praha
Seizures are among the acute conditions that we encounter quite often in children. This is a symptom that can have a very diverse etiology. From different points of view, seizures can be divided into epileptic and non-epileptic, into convulsions with temperature and without temperature, into focal and generalized convulsions. A thorough anamnesis, physical examination of the patient, auxiliary examination methods will help us to make the distinction. In pre-hospital and early hospital care, the basic differential diagnosis of a convulsing child should be performed quickly, and adequate symptomatic and supportive treatment should be started in time. This is the only way to prevent permanent damage to brain cells, which is a risk in prolonged seizures.
Keywords: convulsions, status epileptici, fibrile seizures, treatment of seizures.
Accepted: October 21, 2024; Published: November 15, 2024 Show citation
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References
- Nevšímalová S, Komárek V, et al. Dětská neurologie. Galén Praha 2021;328:345-347.
- Kršek P, Zumrová A, et al. Základy dětské neurologie. Galén Praha 2021: s.73-83.
- Mixa V, Heinige P, et al. Dětská přednemocniční a urgentní péče. Grada Praha 2023: s. 398-340.
- Wilfong A. Seizures and epilepsy in children: Classification, etiology, and clinical features - UpToDate, 16.6.2024, https://www.uptodate.com/contents/seizures-and-epilepsy-in-children-classification-etiology-and-clinical-features.
- Wilfong A. Seizures and epilepsy in children: Initial treatment and monitoring - UpToDate, 7.9.2022, https://www.uptodate.com/contents/seizures-and-epilepsy-in-children-initial-treatment-and-monitoring.
- Krijtová H, et al. Význam EEG při stanovení diagnózy nekonvulzivního status epilepticus, Neurol. praxi. 2022;23(3):E1-E11 | DOI: 10.36290/neu.2022.017.
Go to original source... - Kudr M. Epileptické záchvaty a epilepsie u dětí. On-line 29. 3. 2016. Available from: https://sancedetem.cz/epilepticke-zachvaty-epilepsie-u-deti.
- Buchhalter L, et al. Emergency Department Clinical Pathway for Management of Suspected New Unprovoked Seizures, April 2021, rev.March 2024, Children´s Hospital of Philadelphia. Available from: https://www.chop.edu/clinical-pathway/unprovoked-seizure-clinical-pathway.
- Abend N, et al. Clinical Pathway for Evaluation/Treatment of Infants and Children > 2 months with Status Epilepticus, Sept. 2021, Children´s Hospital of Philadelphia. Available from: https://www.chop.edu/clinical-pathway/status-epilepticus-clinical-pathway.