DIAGNOSIS AND TREATMENT: MANAGEMENT OF THE CHILD WHO HAS HAD ONE CONVULSION.

摘要: FOR MOST PARENTS their child9s first convulsion is a dramatic, frightening event which demands immediate medical attention. The physician, on the other hand, may see patient after recovery from attack and tend to minimize severity of situation assume wait-and-see attitude before investigation treatment are initiated. symptom that indicates disturbance cerebral neurones. This be result underlying organic disease brain, either fixed or progressive, it an indication functional related circulatory metabolic disorder. so mild child unaffected but subsequent attacks prolonged, in status epilepicus, produce severe degree mental impairment. There considerable evidence indicate anoxia associated with convulsions can cause brain damage for this reason every who has had should investigated and, rare exception, placed prophylactic daily anticonvulsant medication when no specific treatable condition discovered. EVALUATION step study document its occurrence. Anxious parents are, as rule, poor witnesses. Despite this, effort made obtain description seizure, particularly premonitory symptoms, loss consciousness, convulsive movements, duration attack, state following attack. In infants breath-holding spells simulate seizures. there always precipitating factor, usually slight injury some emotional results violent crying, ending suddenly respiratory apnea. cyanosis such appears consciousness movements.