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Chapter-19 Acute Seizure

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Gupta Piyush
2. Dua Tarun
ISBN
9788184489507
DOI
10.5005/jp/books/11182_19
Edition
3/e
Publishing Year
2011
Pages
8
Author Affiliations
1. University College of Medical Sciences, New Delhi, India, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, University College of Medical Sciences, New Delhi, India; Indian Academy of Pediatrics (2021), University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India; Indian Academy of Pediatrics 2020, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India; Indian Academy of Pediatrics 2021, University College of Medical Sciences, New Delhi, India; Elect 2020, Indian Academy of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India, University College of Medical Sciences, New Delhi, India; Indian Pediatrics; IAP Education Center, Indian Academy of Pediatrics 2008-13; University College of Medical Sciences, Delhi, University College of Medical Sciences; Indian Pediatrics, New Delhi, India, University College of Medical Scienc
2. University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, e-mail: tdua@rediffmail.com, Research and Action on Mental and Brain Disorders (MER); World Health Organization, Geneva, Switzerland
Chapter keywords

Abstract

Seizures account for 1 to 2 percent of all emergency department (ED) visits. The focus of ED management is to stabilize the patient, terminate the seizure activity safely and quickly, identify and treat life-threatening conditions and to initiate follow-up. Several times, a child may present with a condition that can mimic or be misinterpreted as an epileptic seizure. These conditions include convulsive syncope with or without cardiac dysrhythmia, decerebrate posturing, psychogenic events, dystonia, migraine and many others depending upon the age of the patient. A seizure has to be differentiated from these conditions as misdiagnosis can have significant therapeutic implications.

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