Milh M, Ticus I, Villeneuve N, Hugonencq C, Mancini J, Chabrol B
Service de neurologie pédiatrique, hôpital de La-Timone-Enfants, 265 rue Saint-Pierre, 13005 Marseille, France.
Arch Pediatr. 2008 Feb;15(2):216-22. doi: 10.1016/j.arcped.2007.11.007. Epub 2008 Jan 14.
Epileptic seizures can be difficult to recognize in infancy and childhood because the semeiology can be misleading. Already, in the acute phase, precise assessment of the seizure is required, with active questioning about circumstances of occurrence, clinical manifestations and postictal symptoms. Laboratory tests and toxicologic screening should only be performed according to the circumstances and clinical examination in order to distinguish between symptomatic seizure and epilepsy at the beginning. Epilepsy consists in repetition of several unprovoked epileptic seizure. Assessment of the age of onset, type of seizures, interictal EEG and the neuropsychological profile are instrumental for both the diagnosis of epileptic syndrome and the choice of the right treatment. Epileptic seizures cause distress to parents and the fear they experience of death must always be taken into account.
癫痫发作在婴儿期和儿童期可能难以识别，因为其症状学可能具有误导性。在急性期，就需要对发作进行精确评估，积极询问发作情况、临床表现和发作后症状。实验室检查和毒理学筛查应仅根据具体情况和临床检查进行，以便在一开始就区分症状性发作和癫痫。癫痫是指多次无诱因的癫痫发作。发作起始年龄、发作类型、发作间期脑电图和神经心理学特征的评估对于癫痫综合征的诊断和正确治疗方案的选择都很有帮助。癫痫发作会给家长带来困扰，他们对孩子死亡的恐惧必须始终予以考虑。
