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Seizure & Epilepsy. F Ahamdabadi MD Child Neurologist ARUMS April. Objectives. Definition of Seizure/Epilepsy and convulsion Classify the seizure types Epileptic syndromes Differential diagnosis Management. Approach to Paroxysmal disorders. Differential Diagnosis. Apnea
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Seizure & Epilepsy F Ahamdabadi MD Child Neurologist ARUMS April
Objectives • Definition of Seizure/Epilepsy and convulsion • Classify the seizure types • Epileptic syndromes • Differential diagnosis • Management
Differential Diagnosis • Apnea • Benign Sleep Myoclonus • Breath holding • GERD • Hyperekplexia: Exaggerated response to Tactile or auditory stimulation • Jitteriness • Movement Disorders • Masturbation Attack • Psychogenic • Sleep Disorders • SpasmusNutans • Sterotypies :Repetitive suppressible movements • Syncope
Neonatal Seizures • Subtle • Clonic • Tonic • Myoclonic • Syndromes: • Benign Familial neonatal Seizures • Fifth day seizure • Benign Myoclonus of early infancy • Ottahara
Epileptic Syndromes • Absence • Dravet Syndrome • JANS Syndrome • Febrile Seizure • Frontal lobe epilepsy • Lennox guastate Syndrome • Landau Kleffner • Occipital lobe Epilepsy • Ottahara Syndrome • Rasmussen encephalitis • Rolandic Seizure • West Syndrome
Febrile Convulsion • Definition • Types Simple:<15 min Generalized 1 time in 24 Hour Complex • Recurrence: Age FH Type Sex Fever Time • Lead to Epilepsy: Focal Development • Management : EEG LP Imaging • Treatment: Intermittent Long Term