Diagnosis of childhood seizure disorders.

Abstract:

:Convulsive epilepsies are generally unmistakable. Absence epilepsies, which are easily recognized by the provocation of an episode during hyperventilation and by the typical features of the EEG, can be overdiagnosed, especially in the child who daydreams in class and has scattered, asymptomatic, epileptogenic EEG changes. As in adults, complex partial seizures in children can be difficult to distinguish from certain behaviors. Several types of benign childhood epilepsies need to be distinguished from the more intractable and lesional childhood epilepsies. Two common examples, benign rolandic epilepsy and benign occipital epilepsy, can be recognized by their unique EEG changes and clinical features. Juvenile myoclonic epilepsy generally does not remit spontaneously but should be recognized because it appears to respond to valproate. Some recurrent nonepileptic events seen in children can be mistaken for seizures, including shuddering attacks, paroxysmal vertigo, breath-holding spells, cardiogenic syncope, night terrors, and movement disorders, such as paroxysmal kinesigenic choreoathetosis.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Murphy JV,Dehkharghani F

doi

10.1111/j.1528-1157.1994.tb05936.x

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

S7-17

eissn

0013-9580

issn

1528-1167

journal_volume

35 Suppl 2

pub_type

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