Take a detailed history of the description of the event, precipitants, duration, and postevent behavior. Does history suggest an epileptic seizure disorder?

Slides:



Advertisements
Similar presentations
Automatisms with preserved responsiveness were observed exclusively during seizures arising from the right nondominant temporal lobe. They were not observed.
Advertisements

Benign infantile seizures are characterized by (1) familial or nonfamilial occurrence; (2) normal development prior to onset; (3) onset mostly during the.
The typical EEG of hydranencephaly shows a flat pattern but the EEG of severe hydrocephalus does not demonstrate a flat pattern. Visual evoked potential.
Percent of doses dispensed with >D event (NCC MERP Safety Event Category Impact Scale) reported, fiscal year Red line reflects error rate goal of.
Diagnostic approach: Dizziness.
Generalized, frontally predominant, rhythmic fast activity is the most common ictal EEG accompaniment of generalized tonic seizures. Ictal EEG patterns.
Physical examination positions. A: Frog leg position
Outcomes after surgery, cortical resection, or hemispherectomy in infants with catastrophic focal epilepsy are very good. About 75–78% are seizure-free.
Staging of endometriosis
CBZ is the most common antiepileptic drug (AED) causing AED-induced seizure worsening. CBZ can both aggravate and induce new seizure types including absence,
Umbilical artery catheter insertion. (A) Artery dilation
Patients with IS caused by FCD frequently develop partial seizures that can precede, be simultaneous with, or follow the cluster of epileptic spasms. Spasms.
Internal hemorrhoids. (Used, with permission, from John Cello, MD.)
The scalp EEG is frequently negative or maybe misleading; furthermore, spread of epileptic discharges from the parietal and occipital lobes to frontal.
The “H-response” is a prominent photic driving response at flash rates beyond 20 Hz. In a critical review of the literature, the reported sensitivity of.
Abnormal EEGs were found in 43–75% of autistic children and 82% of their EEGs; 46% had clinical seizures. Nearly all children with seizures had epileptiform.
The causes of OS are symptomatic or organic; the causes of EME can be genetic, metabolic, or entirely unknown. OS causes tonic spasms and partial seizures.
Late posttraumatic epilepsy usually occurs within the first 2 years after the injury. Seizures are believed to originate from a cerebromeningeal scar.26.
Focal cortical dysplasia (FCD) is often associated with severe focal epilepsy. Intraoperative ECoG showed one of the following patterns: (1) repetitive.
A close relationship exists between heterotopic nodules and cortical regions in bilateral PNH, with an epileptogenic network including both structures.
SPECT images from a brain scan obtained in the interictal state in a child with seizures demonstrates marked asymmetric uptake in the left temporal lobe.
Epilepsy is an important predictor of poor intellectual outcome in the children with hydrocephalus with shunts. Epilepsy was significantly affected by.
POLG1 mutations should be considered in teenagers and young adults reporting episodic visual symptoms with migraine-like headaches and sudden-onset intractable.
Rodin, “The Kiss” (545 x 800). Accessed at
Areas that are chronically excoriated can evolve into lichen simplex chronicus. Source: Atopic Dermatitis, Comprehensive Pediatric Hospital Medicine, 2e.
An adolescent with a peripherally inserted central venous catheter (PICC line) in the right upper extremity. Source: Pediatric Acute-Care Hospital, Meeting.
A standard epidural order form.
Obstructive sleep apnea resulting in significant oxygen desaturation occurred in this child who had a long history of snoring. A nasopharyngeal airway.
Ohtahara syndrome is a very rare and devastating form of epileptic encephalopathy of very early infancy. Onset of seizures is mainly by 1 month of age.
After the seizure has been viewed using conventional frequencies and muscle activity has been removed, a search for baseline shifts should be performed.
Criteria used to determine breath types during mechanical ventilation
The extent of the PET hypometabolism may be substantially larger than the electrical focus.55 The relationship between the area of hypometabolism and the.
Patients presenting with clinical features compatible with MAE but with seizure semiology consistent with focal seizure or focal abnormality seen in the.
As seen in this toddler, most patients present with a history of a brief febrile seizure without any postictal neurologic deficits (the overwhelming majority.
(Reproduced with permission from Amato AA, Russell JA
BiPLEDs are PLEDs that are bilateral, generally asynchronous, and differ in amplitude, morphology, repetitive rate, and location. They are most commonly.
Note: A multivariate analysis suggests that a model that adds clinical and demographic information may perform better than the nomogram alone. (See O'Neill.
Only 23% of the survivors of RSE were normal at follow-up; 34% showed developmental deterioration and 36% developed new-onset epilepsy.230 Mortality is.
ECS is more common in females
A Pavlik harness used to treat developmental dysplasia of the hip.
The Pavlik harness, a device used for treatment of hip dislocation, subluxation, and dysplasia. Source: Chapter 10. Pediatric Orthopedic Surgery, Current.
A Pavlik harness used to treat developmental dysplasia of the hip.
Types of hearing aids. Left, in-the-ear; center, behind the ear; right, in-the-canal. Source: Assessment and Management of Auditory Disorders and Tinnitus,
Internal hemorrhoids. (Used, with permission, from John Cello, MD.)
Usually, scalp-recorded ictal DC shifts are not successfully recorded because movements during clinical seizures could cause artifacts. They are highly.
This infant developed typical arcuate lesions on the face
Secondarily generalized discharges are a common occurrence with frontal lobe epilepsy. The EEG findings that suggest secondary bilateral synchrony include.
POLG1 mutations should be considered in teenagers and young adults reporting episodic visual symptoms with migraine-like headaches and sudden-onset intractable.
Testing the first MTP joint motion. (From Dutton M
Cut-away view of a modern MRI machine. Please see text for description. Source: Overview of Diagnostic Modalities and Contrast Agents, Introduction to.
“Zip-like electrical discharges (Zips)” is a common ictal EEG pattern in neonates, which consists of focal episodic rapid spikes of accelerating and decelerating.
Small bowel obstruction
Number of uninsured persons in the United States, 1980 to 2014 (U. S
The nomogram is also not useful if the time of ingestion is uncertain, if ingestion occurred more than 24 hours before presentation, or if repeated ingestion.
The best predictor of surgical outcome is the presence of a focal epileptic generator that may or may not include the PNH. Invasive recording is required.
CEEG monitoring detected seizure activity in 19% of patients, and the seizures were almost always nonconvulsive. Coma, age 24 hours of monitoring to detect.
ESES may be the result of a secondary bilateral synchrony
The “windshield wiper test” (passive internal and external hip rotation in 90 degrees of flexion). Pain and stiffness suggest hip joint arthritis. Source:
Clinical and pathologic effects of hepatocellular failure, which commonly results from conditions associated with acute or chronic necrosis of liver cells.
Characteristic time courses for various neurologic disorders
CAssess history of impulse control disorder-type behaviors (pathological gambling, eating, spending, sexual, etc.) and consider using other agents if significant.
(Redrawn, with permission, from Chandrasoma P, Taylor CR
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

Take a detailed history of the description of the event, precipitants, duration, and postevent behavior. Does history suggest an epileptic seizure disorder? Source: Epileptic Seizures and Their Classification, Pediatric Epilepsy Citation: Duchowny M, Cross J, Arzimanoglou A. Pediatric Epilepsy; 2017 Available at: https://neurology.mhmedical.com/DownloadImage.aspx?image=/data/books/2024/duchowny_ch1_f001.png&sec=150130279&BookID=2024&ChapterSecID=150130271&imagename= Accessed: March 04, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2025 SlidePlayer.com. Inc. All rights reserved.