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If the cause of the seizures are unlikely to be easily or quickly corrected, once diagnosis of a seizure is made, the mainstay of treatment is pharmacotherapy with anti-epileptic drugs. Phenobarbital is the first line anti-seizure medication in neonatal seizures, regardless of the cause of the seizure. [4]
However, for the majority of seizures, the cause is unable to be determined. [1] Factors that may contribute to a seizure episode include head injuries, recent fever or infection, concurrent health conditions, and medication. There are many different symptoms to look for in epilepsy in children, of which can vary based on the seizure type ...
Neonatal encephalopathy (NE), previously known as neonatal hypoxic-ischemic encephalopathy (neonatal HIE or NHIE), is defined as a encephalopathy syndrome with signs and symptoms of abnormal neurological function, in the first few days of life in an infant born after 35 weeks of gestation.
Infantile epileptic spasms syndrome (IESS) previously known as West syndrome needs the inclusion of epileptic spasms for diagnosis. [1] Epileptic spasms (also known as infantile spasms) may also occur outside of a syndrome (that is, in the absence of hypsarrhythmia and cognitive regression) - notably in association with severe brain disorders (e.g. lissencephaly).
The key to diagnosis is a family history of similar events and a normal neurological exam. Seizures occur between a few days to a few weeks of life and resolve by 5 months of age (range 5 days to 2 years). An EEG taken between seizures is typically normal. [1] [3] Diagnostic testing is similar to that of self-limited neonatal seizures.
And, depending on the cause, they may go away completely after age 4 or 5 — or the child may develop neurological impairments or other types of seizure disorders, NINDS explains.
Thanks to a newly developed laser surgery that had never before been done at Ella's local hospital, the 5-year-old is back to her old self.
Case 1. A girl had two seizures in sleep at 6 years of age. During the first seizure, she was found vomiting vigorously, eyes turned to one side, pale, and unresponsive. Her condition remained unchanged for 3 hours before she developed generalized tonic-clonic convulsions. She gradually improved, and by the next morning was normal.