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KMID : 0381219750070090600
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Journal of RIMSK
1975 Volume.7 No. 9 p.600 ~ p.607
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Convulsive Disorders in Children
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Abstract
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The common clinical seizure syndromes in children are discussed below according to age and EEG correlates, and these syndromes are discussed in terms of differencial diagnosis and management.
Neonatal convulsions occur with relatively high frequency and present special problems in terms of diagnosis and treatment. The factors inducing seizures in the newborn infant, and their relative frequency as determined by clinical study are presented in table.
Differential diagnosis of febrile seizure and epilepsy are presented. EEG of infantile spasm has the characteristics of hypsarrhythmia. ACTH and corticosteroids are effective drug for the treatment. Nitrazepam is most effective in infantile spasm.
Four types of petit-mal can be distinguished; absence, myoclonic seizure, akinetic seizure, and infantile massive myoclonic seizure. Focal seizure is characterized by the development of localized motor symptoms. These spreads to other parts of the body, ultimately becoming generalized with loss of consciousness. The most common focal attack observed in children advers ve seizure.
Despite considerable controversy about the best way to manage one single seizure, I recommended that criteria of Ley & Shenbrom that the child be placed on continuous maintenance anticonvulsant therapy after the first seizure, regardless of precipitating cause.
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