By Tommy Stödberg MD, Claes G. Frostell MD, PhD, Björn A. Larsson MD, PhD (auth.), Thomas Sejersen, Ching H. Wang (eds.)
This booklet presents thoughts for overview and remedy within the region of acute pediatric neurology; those are provided didactically with common use of illustrations and algorithms. Chapters within the first a part of the booklet speak about featuring signs of acute neurological stipulations. the second one a part of the booklet covers significant parts of acute pediatric neurology and every of those chapters has 3 key parts: description of featuring indicators; steered checks; and instructed interventions.
Acute Pediatric Neurology offers an obtainable, clinically targeted consultant to help physicians within the emergency ward or in depth care unit in judgements on analysis and healing interventions in all significant acute pediatric neurological diseases.
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Extra info for Acute Pediatric Neurology
Impact of continuous EEG monitoring on clinical management in critically ill children. Neurocrit Care. 2010;15:70–5. 30. Jette N, Claassen J, Emerson RG, Hirsch LJ. Frequency and predictors of nonconvulsive seizures during continuous electroencephalographic monitoring in critically ill children. Arch Neurol. 2006;63:1750–5. 31. Watemberg N, Segal G. A suggested approach to the etiologic evaluation of status epilepticus in children: what to seek after the usual causes have been ruled out. J Child Neurol.
Diagnostic studies to identify the precipitating cause must be considered as part of the treatment sequence, as an AED may control seizure activity but does not treat the underlying cause. Failure to treat the underlying cause may result in refractory SE. The appropriate diagnostic studies are done after the patient has been stabilized, and these are determined by the history, examination, and age, with a greater need to exclude treatable causes in the youngest children. Seizure classification guides management since an acute symptomatic seizure demands a complete work up to identify etiology, whereas in the patient with remote symptomatic seizures, or symptomatic epilepsy, a complete evaluation may not be needed, and the evaluation is determined by the specific history.
Acute symptomatic SE is more likely in younger children. It is especially important to determine if the child has had a preceding history of seizures, or epilepsy, or if the seizure has occurred in the setting of an acute illness, even if just a nonspecific upper respiratory tract infection, and if there are any preceding psychiatric symptoms, movement disorders, or family history of autoimmune disorders. These symptoms suggest an acute autoimmune disorder (NMDA receptor encephalitis). Seizures may have an acute precipitant in a patient with epilepsy.