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[Congenital errors of metabolism with epileptic seizures during the first years of life]
1Unitat Integrada Hospital Sant Joan de Déu-Clinic. Universitat de Barcelona, Barcelona, España. campistol@hsjdbcn.org
Insights
Congenital metabolic disorders can cause epilepsy in children aged 1-10 years. Early diagnosis is crucial, especially for drug-resistant epilepsy or unexplained neurological symptoms.
Area of Science:
- Neurology
- Metabolic Disorders
- Pediatrics
Context:
- Epilepsy in children presents diverse etiological origins.
- Congenital errors of metabolism are a less common but significant cause of seizures.
- Identifying these metabolic causes requires specialized diagnostic approaches.
Purpose:
- To review the primary metabolic causes of epilepsy in children aged 1 to 10 years.
- To categorize these metabolic conditions based on their presentation with epilepsy.
- To outline diagnostic considerations for metabolic epilepsy in this age group.
Summary:
- This review focuses on congenital metabolic errors manifesting as convulsive seizures between 12 months and 10 years of age.
- Conditions are subcategorized based on whether epilepsy is a primary or secondary neurological symptom.
- The paper aims to aid in diagnosing metabolic etiologies of seizures in pediatric patients.
Impact:
- Highlights the importance of considering metabolic disorders in pediatric epilepsy diagnosis.
- Emphasizes the need for awareness among pediatricians and epileptologists.
- Aids in identifying treatable causes of epilepsy, particularly in refractory cases or those with systemic features.
Objective:
In this paper we review the main aetiologies of metabolic origin which cause epilepsy in children aged between 1 and 10 years.
Development:
There are many aetiological causes of convulsive seizures. Seizures and epilepsies due to congenital errors of metabolism are a minority but should be known. Their identification is not easy although at present there is a wide range of diagnostic methods to confirm the diagnosis when this is suspected. In this review we have only considered the congenital errors of metabolism which start between the ages of 12 months and 10 years, with convulsive seizures. We have divided the conditions into two subgroups depending on whether epilepsy was one of the main symptoms or only part of a set of neurological symptoms and signs. Finally we establish the possible diagnoses of congenital errors of metabolism with seizures occurring in this age group.
Conclusions:
In neuropaediatrics the paediatrician and epileptolgist must be aware of congenital errors of metabolism as being responsible for epilepsy, especially in cases of drug resistant epilepsy or when accompanied by other systemic features, neurological deterioration or unexplained biochemical alterations.
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