By Sheila J Wallace
Epilepsy is the commonest neurological ailment of adolescence, happening either in little ones whose actual and cognitive states are differently basic in addition to being a side of a extra generalised and serious mind sickness. there are numerous manifestations of epilepsy and, accordingly, a range of things in underlying pathology, responses to remedy and analysis. complete knowing calls for wisdom of the elemental technological know-how that underlies epilepsy and its reasons, and an appreciation of cognitive, psychiatric and social factors.
This publication is a complete and updated evaluation of all features of youth epilepsy for the expert neurologist or paediatrician with an curiosity during this quarter. the 1st variation was once praised for its worthwhile medical method of reading the character of epileptic syndromes and for its applicable and readable insurance of the underlying simple technology, gains which are retained and extended upon during this revision. specific updates contain complete insurance of recent advancements in epidemiology, genetics, class, imaging, drug remedy and different remedies. numerous new chapters were extra, masking eyelid myoclonia, Rasmussen's syndrome, cognitive and behavioural manifestations of epilepsy, and vagal nerve stimulation.
This publication is key examining for paediatric neurologists, epileptologists and paediatricians, and should proceed to supply priceless aid for any medical professional faced via a baby with epilepsy.
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Extra resources for Epilepsy in Children
Paroxysmal kinesigenic dyskinesia (PKD) The onset is typically in early childhood or adolescence with episodes of choreoathetosis or dystonia. 99 Getting up from a chair and getting out of a car are frequent triggers. Some individuals may have a brief nonspeciﬁc warning or aura before an attack, and consciousness is retained. Interictal neurological examination is normal. Attacks tend to become less frequent in adult life or remit completely. Carbamazepine is often highly effective in small doses.
85 These jerks occurred repetitively at the onset of sleep in clusters lasting several minutes, with arousal appearance on EEG but no jerk-related spike discharges. These children already have epilepsy and so it is important to differentiate these sleep starts from epileptic seizures in order to avoid inappropriate dosage increases in the antiepileptic medication. Restless legs syndrome Although generally thought of as a condition of middle age, this disorder may present in childhood and be misdiagnosed as attention deﬁcit disorder86 or even absence epilepsy.
3. Bye AM, Kok DJ, Ferenschild FT, Vies JS. Paroxysmal non-epileptic events in children: a retrospective study over a period of 10 years. Journal of Paediatrics and Child Health 2000; 36: 244–248. 4. Kotagal P, Costa M, Wyllie E, Wolgamuth B. Paroxysmal nonepileptic events in children and adolescence. Pediatrics 2002; 110: E4–6. 5. Smith PE, Myson V, Gibbon F. A teenager epilepsy clinic: observational study. European Journal of Neurology 2002; 9: 373–376. 6. Stephenson JBP. Fits and Faints. Cambridge: Cambridge University Press; New York: Mac Keith Press, 1990.