Seizures in children

Marla J Friedman1, Ghazala Q Sharieff

  • 1Division of Emergency Medicine, Miami Children's Hospital, FL 33155, USA. mjfbabydoc@bellsouth.net

Insights

Pediatric seizures are common neurologic disorders affecting 4-10% of children. This article reviews seizure types, diagnosis, and management for children experiencing seizures.

Area of Science:

  • Neurology
  • Pediatrics

Background:

  • Seizures represent the most frequent pediatric neurologic disorder.
  • Approximately 4-10% of children experience at least one seizure before age 16.
  • Incidence peaks in children under 3 years old, declining with age.

Purpose of the Study:

  • To outline the classification of pediatric seizures.
  • To detail diagnostic approaches for pediatric seizures.
  • To describe management and disposition strategies for pediatric seizure disorders.

Main Methods:

  • Review of epidemiologic data on pediatric seizures.
  • Synthesis of current diagnostic criteria for seizures.
  • Summary of established treatment and management protocols.

Main Results:

  • An estimated 150,000 children have a first unprovoked seizure annually.
  • Around 30,000 of these children subsequently develop epilepsy.
  • Early diagnosis and appropriate management are crucial for pediatric seizure outcomes.

Conclusions:

  • Pediatric seizures are a significant public health concern requiring timely intervention.
  • Comprehensive understanding of seizure types, diagnosis, and management is essential for pediatric care.
  • Effective treatment strategies can mitigate the long-term impact of epilepsy in children.

Related Concept Videos

Seizures l: Introduction01:20

Seizures l: Introduction

Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...
Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Seizures ll: Types01:19

Seizures ll: Types

Seizures are sudden bursts of abnormal electrical discharge in the brain that interfere with normal function. They are commonly divided into three groups: focal seizures, generalized seizures, and other types that do not fit neatly into either category.Focal SeizuresFocal seizures begin in a single brain region. When awareness is preserved, they are called focal aware seizures and may cause sensations such as tingling, unusual smells, or flashing lights. When awareness is impaired, they are...
Epilepsy ll: Types01:22

Epilepsy ll: Types

Recurrent seizures, stemming from abnormal electrical activity in the brain, are the defining characteristic of epilepsy, a chronic neurological condition. Because seizure features vary greatly, epilepsy is classified using two systems: by seizure type and by epilepsy syndromes. These classifications enable clinicians to describe seizure patterns and select suitable treatment strategies.I. Classification by Seizure Type1. Focal EpilepsyFocal epilepsy begins in one hemisphere of the brain.
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...