Epilepsy in Children: A Brief assessment
November 18, 2008
Epilepsy can be described as condition in which will seizures will be triggered recurrently from within the mind. 1 A seizure is a sudden, transitive disturbance of brain function, manifested by involuntary electric motor, sensory, autonomic, or psychic phenomena, exclusively or in just about any combination, often accompaniec by simply alteration or perhaps loss of consciousness and may arise after a metabolic, traumatic, anoxic, or infectious insult to the brain. two The epilepsy is considered to be present when several unprovoked seizures occur at interval more than 24 hour apart. 1 The opportunity of having the second seizure following an intial unprovoked event is 30 percent. 2 Pinzon R reported that frequency of epilepsy in kids is ranged about three or more to 11 persons of 1000 people and the CDC reported which the prevalence of epilepsy in United States about age lower than 15 years of age on 1994 is ranged about some of one thousand people three or more that producing the prevalence is still quite high in the child years ages.
Although the prognosis pertaining to majority of children with systematic seizures or those associated with epilepsy is mostly good, some seizures may possibly signal a potentially severe underlying systemic or central nervous system (CNS) disorder that requires comprehensive investigation and management. 1, 5 In many cases, the underlying disorder has to be identified to assist in clasifying the seizure for ultimately causing the diagnosis, and treated in order to control the seizures and prevent further brain malfunction. 1, three or more, 6 The wrong diagnosis of a seizure disorder can have many negative outcomes for the person, including high-priced and probably toxic medication regimens, development of psychiatric disorder, uncontrolled recurrent seizures, and poor quality of life (QoL) of the sufferer. 1, a few, 5, 6
Epilepsy in Kids: A Brief review
November 14, 2008
2. 1 . Explanations
The epileptic syndromes (table 1) and types of seizures (figure 1), had been classified according to the current classification schemes as well as the guidelines in the International Little league against Epilepsy (ILAE) and the semiological seizure classification system. 7-9, 13 ILAE9 grouped seizures while generalized agitee (e. g., tonic, clonic, or tonicвЂ“clonic), nonconvulsive (e. g., lack or myoclonic), or part (focal). The epilepsy was classified since cryptogenic, symptomatic, or idiopathic, which reserved for seizures occurring in individuals with epilepsy with a presumed genetic beginning, 9, 15 according to the putative cause and depending on such factors since the age of the individual, the type of seizure, the existence or a shortage of a family good epilepsy, as well as the presence or absence of a fundamental neurologic laceracion. Patients were considered to be free of seizures if they had not got seizures of any type for a minimum of one season while receiving the same medication dosage of antiepileptic drug or while not currently taking any medicine. 11 An epileptic problem is a number of signs and symptoms that customarily arise together the place that the identification with the syndrome assists determine the appropriate therapy plus the prognosis. 3, 9, 12
The semiological seizure category (SSC) system (figure 1) identifies in depth the somatotopic distribution from the ictal semiology as well as the seizure evolution. 13-16 In this category, seizures are classified the following: a. Auras, an ictal manifestations having sensory, psychosensory, and experiential symptoms. w. Autonomic seizures, a seizures in which the main ictal indications are objectively documented autonomic alterations. c. " Dialeptic" seizures that contain their primary ictal manifestations an alteration of consciousness that is certainly independent of ictal ELEKTROENZEPHALOGRAPHIE manifestations. g. Motor seizures that were characterized mainly simply by motor symptoms and are subclassified as simple or perhaps complex. Basic motor seizures are seen as simple, abnormal movements which can be elicited by simply electrical excitement of the principal and...