AI Article Synopsis

  • Children typically present with convulsive seizures after their first unprovoked seizure, making it essential to differentiate from other similar events like convulsive syncope.
  • An EEG and MRI are usually recommended, along with other tests tailored to each individual case, to assist in diagnosis.
  • Parents commonly have six significant concerns regarding recurrence, potential harm, medication delays, and activity restrictions following their child's seizure.

Article Abstract

Children with a first unprovoked seizure almost always present with a convulsive seizure. The differential diagnosis includes many paroxysmal events, especially convulsive syncope but even with a good history; there is often uncertainty that cannot be eliminated by investigations. In general, an EEG and MRI are indicated with other investigations determined on a case-by-case basis. Epilepsy syndrome identification may be very valuable. Current literature allows at least partial answers to parents' six most common questions: Will it happen again? How long do I have to wait for a recurrence? Could my child die during a recurrence? Could there be brain damage with a recurrence? If medication treatment is delayed will there be any long-term change in the chance of a permanent remission? Now that my child has had a seizure, how should his/her activities be restricted?

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Source
http://dx.doi.org/10.1111/j.1528-1167.2008.01449.xDOI Listing

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