癫痫 Diagnosis___Treatment_in_Pediatric_Epilepsy.ppt

Epilepsyand Treatment Anup Patel, M.D. Pediatric Neurologist Capitol Neurology Epilepsy Epilepsy is a treatable condition and epileptic patients can live a normal and healthy life. Epilepsy should not be a social taboo Definitions Epileptic seizure: The clinical manifestations (symptoms and signs) of excessive and hyper synchronous, usually self limited, activity of neurons in the cerebral cortex. Epilepsy: A chronic disorder characterized by recurrent (more than 2) unprovoked seizures. The ILAE classification of seizures I. Partial (focal, local) seizures A. Simple partial seizures (consciousness not impaired) B. Complex partial seizures (with impairment of consciousness) C.partial seizures evolving to generalized seizures The ILAE classification of epileptic seizures II. Generalized seizures A. Absence seizures 1. Absence seizures 2. Atypical absence seizures B. Myoclonic seizures C. Clonic seizures D. Tonic seizures E. Tonic-clonic seizures F. Atonic seizures (astatic seizures) III. Unclassified seizures The International League Against Epilepsy classification of epilepsies and epileptic syndromes  I. Localization-related (focal, local, partial) epilepsies and syndromes A. Idiopathic (with age-related onset). At present, two syndromes are established:1. Benign childhood epilepsy with centro temporal spikes 2. Childhood epilepsy with occipital paroxysms B. Symptomatic. This category comprises syndromes of great individual variability. The International League Against Epilepsy classification of epilepsies and epileptic syndromes II. Generalized epilepsies and syndromes A. Idiopathic (with age-related onset, in order of age appearance) 1. Benign neonatal familial convulsions 2. Benign neonatal convulsions 3. Benign myoclonic epilepsy in infancy 4. Childhood absence epilepsy (pyknolepsy, petit mal) 5. Juvenile absence epilepsy 6. Juvenile myoclonic epilepsy (impulsive petit mal) 7. Epilepsy with grand mal seizures on awakening  The