(儿科学英文课件）09 惊厥教学讲义.pptVIP

Physical Examination Obtain temperature and vital signs ( important in the initial evaluation) Examine for signs suggestive of trauma or the presence of an intracranial shunt Examine for papilledema (suggesting increased intracranial pressure) Examine for nuchal rigidity (suggesting meningitis) Exams and Tests for seizures Physical Examination Examine skin for findings suggestive of neurocutaneous syndrome Examine features of appropriate neurodevelopment Identify any focal neurologic deficits (may be?indicative of an underlying focal structural lesion?or postictal Todd paresis) Exams and Tests for seizures Acute convulsion in Children JIANG Li Professor, Doctorial tutor Department of Neurology Children’s Hospital of CMU contents Definitions Causes of acute convulsion Febrile seizures Exams and Tests for convulsion Treatment of acute convulsion Acute convulsion in Children Definitions Epileptic Seizures（癫痫发作） · manifestation of transient excessive abnormal hypersynchronous discharges of cortical neurons · Clinical signs or symptoms of seizures depend on the location of the epileptic discharges in the cortex and the extent and pattern of the propagation of the epileptic discharge in the brain. May be manifested as a motor, sensory, autonomic, cognitive, or psychic disturbance · manifestation is apparent either to the subject or an observer Different types of seizures may occur in different parts of the brain and may be localized (affect only a part of the body) or widespread (affect the whole body). Acute convulsion in Children Definitions Convulsive seizures (惊厥性癫痫发作，convulsion 惊厥): is a subtype of epileptic seizure in which abnormal motor activity occurs, noted by uncontrollable muscle jerking Epilepsy（癫痫）: a chronic disorder of the brain characterized by recurrent, unprovoked epileptic seizures. Acute convulsion in Children 癫痫发作（痫性发作，epileptic seizures 或 seizures） 大脑皮层神经元异常同步放电引起的暂时性脑功能异常 临床可有多种发作症状（包括运动、感觉异常、行为认知、植物神经功能障碍等） 分