Evaluation of the First Non-Febrile Seizure and Childhood Epilepsy

by Carlo Raj, MD

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    00:01 Evaluation of first non-febrile seizure.

    00:04 We have two age groups.

    00:06 Children and adults.

    00:08 Let’s talk about these seizures.

    00:12 H&P in children is important.

    00:15 In a child, EEG, lab work, neuroimaging, CSF analysis based on the age of your patient and clinical situation.

    00:23 H&P in adult EEG and neuroimaging for the most part is all that you’d require here to find out what’s causing the first non-febrile seizure.

    00:35 Laboratory evaluation and CSF analysis is case dependent whereas in a child CSF analysis is based on age of your patient and then clinical situation.

    00:48 Childhood epilepsy So what are all the different causes of childhood epilepsy? And you keep this separate from febrile at this point.

    00:59 Obviously, I need to put it in as well, but febrile seizure, remember the fever itself could be the possible trigger for the – The fever could be the trigger for the seizure.

    01:10 Toxic metabolic disturbances such as hyponatremia, hypocalcemia, look at the electrolytes.

    01:14 I want you to focus upon hypomagnesemia.

    01:18 Hypomagnesemia.

    01:20 So you’ll notice all these are hypos.

    01:23 I want you to focus on my hypomagnesemia.

    01:25 And the reason for that later on or it could be asked, that if you want to control the seizures that sometimes, the first line of “drug” or treatment would be magnesium sulfate.

    01:38 And this, of course, you should know for the setting of ecclampsia.

    01:43 Focus on hypomagnesemia, please.

    01:45 Genetic factors of childhood epilepsy: Multiple defects in metabolic pathway and other genetic diseases.

    01:53 Idiopathic may be perhaps, the genetics could play a role, especially as we learn more and more and more about these channels, right? So you know about channelopathies.

    02:05 Meningitis, possibly head injury, Perinatal insults such as cortical dysplasia or palsy, perhaps.

    02:14 Or tumors, much less common.

    02:17 Much less common.

    02:18 Childhood epilepsy.

    02:19 Unprovoked.

    02:21 Could febrile seizure go into epilepsy? Yes, it could.

    02:26 But a very small percentage.

    02:29 Hopefully, as we’re moving through here, you’re gaining a clear understanding of what you need to know for seizures in general.

    About the Lecture

    The lecture Evaluation of the First Non-Febrile Seizure and Childhood Epilepsy by Carlo Raj, MD is from the course Seizures.

    Included Quiz Questions

    1. Decreased calcium levels.
    2. Decreased iron levels.
    3. Decreased zinc levels.
    4. Decreased folic acid levels.
    5. Decreased vitamin C levels.
    1. Glioblastoma Mutliformae
    2. Head injury
    3. Channelopathies
    4. Encephalitis
    5. Decreased Magnesium levels in blood

    Author of lecture Evaluation of the First Non-Febrile Seizure and Childhood Epilepsy

     Carlo Raj, MD

    Carlo Raj, MD

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