References

Ballinger A. Essentials of Kumar & Clark's clinical medicine, 5th edn. Edinburgh: Saunders Elsevier; 2012

Fisher RS, Cross JH, French JA, Higurashi N, Hirsch E, Jansen FE, Lagae L, Moshé SL, Peltola J, Roulet Perez E Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017; 58:(4)522-530 https://doi.org/10.1111/epi.13670

Kumar & Clark's clinical medicine: Study smart with Student Consult, 8th edn. In: Kumar PJ, Clark M (eds). Edinburgh: Saunders Elsevier; 2012

Illustrated textbook of paediatrics, 4th edn. In: Lissauer T, Clayden G (eds). Edinburgh: Mosby; 2012

NICE Clinical guideline [CG137]. Epilepsies: diagnosis and management.: NICE; 2012

The incidence and prevalence of epilepsy. 2015. https://www.epilepsysociety.org.uk/sites/default/files/attachments/Chapter01Neligan-2015.pdf (accessed 20 January 2020)

Paediatric Formulary Committee. British National Formulary for Children. 2020. https://bnfc.nice.org.uk (accessed 20 January 2020)

Davidson's principles and practice of medicine, 22nd edn. In: Walker BR, Colledge NR, Ralston S (eds). Edinburgh: Churchill Livingstone/Elsevier; 2014

YoungEpilepsy. What is epilepsy—About epilepsy. 2020. https://www.youngepilepsy.org.uk/about-epilepsy/what-is-epilepsy/ (accessed 20 January 2020)

Seizures: Management in children

02 March 2020
Volume 1 | British Journal of Child health · Issue 1

Abstract

Epilepsy is a common neurological condition and one that school nurses are likely to deal with due to its prevalence in the population. It is therefore important to know how to manage a child having a seizure in the community. Having an appreciation of the long-term management with antiepileptic drugs to try to prevent and control seizures is useful. Children suffering from epilepsy may experience a seizure at any time, often without warning, so an understanding of the correct first aid measures and the use of emergency medication is key. It is also important to know when further medical help is required as well as when it may not be. This article will give a brief overview of the management of seizures in children, covering both prevention and initial management in the community setting.

Epilepsy is the most common neurological condition affecting all ages, including children (Neligan and Sander, 2015). Approximately 600 000 people in the UK live with epilepsy, equivalent to around one in 103 people (YoungEpilepsy, 2020).

Epilepsy is not a single condition but a group of many varied ‘epilepsies’. Having epilepsy simply means a tendency to have seizures and having a single seizure does not mean that someone has epilepsy (YoungEpilepsy, 2020).

A seizure is the occurrence of signs or symptoms due to abnormal electrical activity in the brain, which can be triggered by many different causes. This may manifest in a variety of ways; for example, a disturbance of consciousness, change in behaviour, cognition, emotion, motor function or sensation (Fisher et al, 2017). Seizures may be focal, affecting only one part of the brain and on only one side or hemisphere, or be generalised, affecting both sides of the brain. Focal seizures can, however, progress to affect both sides of the brain. See Table 1 below for information on the different types of seizure.

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