Seizures result from paroxysmal involuntary disturbance of brain function. The history and physical examination guide to management, and will help to differentiate seizures from non-epileptic disorders. The studies needed depend on the child's age, presence or absence of fever, the duration of seizure activity, and clinical examination. Afebrile seizures in children older than 6 months of age require minimal investigation, while younger children are more likely to have an electrolyte abnormality or hypoglycemia that requires treatment in the emergency department. Children with febrile seizures are not at high risk for serious bacterial illness and routine diagnostic evaluation of simple febrile seizures is not indicated. Anti-epileptic drugs should not be routinely initiated in the emergency department in children whose seizures have resolved. We review the management of status epilepticus in this paper.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Emergency Medicine