Vendaje Neuromuscular en Pacientes Pediatricos. Idioma: InglésFull description
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Pediatrics
[SEIZURES]
Introduction “Seizures” is a major topic covered in the medicine videos. Kids can have any kind of seizure - just like adults. Complex = Loss of Consciousness, Simple = Loss of Consciousness while generalized = total body and partial = specific symptoms. Beyond that, it’s necessary to know about the special seizures that effect children. 1) Febrile Seizures In particularly young (<2 years old) children, any febrile illness can cause a rapid spike in body temperature. How fast matters - not how high when considering seizures. A high fever can cook a brain but seizures are about the spike. When the child seizes (acute and generalized or chronic and focal) with a fever look for the source and control the fever with Tylenol. Do NOT give aspirin, ever. If the source of the seizure can’t be found on routine examination additional studies may be required (EEG / CT / LP). 2) West Syndrome (Infantile Spasm) If that young (<2 years old ) child has bilateral jerking of the head or extremities but without fever , consider infantile spasms. This syndrome is confirmed by interictal EEG showing hypsarrhythmia . The spasms can be treated with ACTH but the psychomotor retardation can’t be controlled; the boy will have mental retardation and a poor prognosis. 3) Tuberous Sclerosis Technically, this can be diagnosed at any age and seizures don’t need to be present. But if a young (<2 year old) child comes in with afebrile seizures or a febrile seizure requires a CT, suspect TS. The seizure and the ash leaf spots (enhanced by Wood’s lamp) are enough to prompt a CT scan to reveal the tubers in the brain. Prepare the child for mental retardation and sebaceous adenomas. 4) Absence Kids who are suspect for ADHD may have more than just trouble paying attention. If the child has trouble paying attention it might actually be hundreds of tiny seizures. These seizures are complex because the child loses consciousness, but partial because there are no external signs. He/she will see skip-phase conversations, the teacher jumping from topic to topic, starting and stopping sentences randomly as he/she comes in and out of consciousness. Confirm the seizures with EEG and treat with ethosuximide . This can easily be misdiagnosed as ADHD.
