Sharma Anita
Department of Pediatric Neurology, Max Super-Speciality Hospital, 1 Press Enclave Road, Saket, New Delhi, India,
Indian J Pediatr. 2013 Nov;80(11):925-35. doi: 10.1007/s12098-013-1173-x. Epub 2013 Sep 19.
Seizures and epilepsy in children are common. They are caused by a variety of causes ranging from genetic to neuro -infections. History and actual observation or/video are very important to differentiate true seizure from non-epileptic event. A correct classification of seizure and epilepsy helps to decide need to treat, choice of anti-epileptic drugs (AED) and prognostication. Except for few seizure types, in majority of seizure types regular AED are started after second confirmed seizure. Goal of treatment is seizure control with minimal side effects and ensuring quality of life. With appropriate mono - therapy, about 70 % patients become seizure free and can be easily treated in community. An orderly approach to classify seizure type, holistic management and timely referral of intractable epilepsy will help in improving care of children with epilepsy.
儿童癫痫发作和癫痫很常见。其病因多种多样，从遗传因素到神经感染。病史以及实际观察或视频对于区分真正的癫痫发作和非癫痫性事件非常重要。癫痫发作和癫痫的正确分类有助于决定是否需要治疗、抗癫痫药物（AED）的选择以及预后判断。除了少数几种癫痫发作类型外，大多数癫痫发作类型在第二次确诊发作后开始使用常规抗癫痫药物。治疗目标是控制癫痫发作，使副作用最小化，并确保生活质量。通过适当的单药治疗，约70%的患者可实现无癫痫发作，并且可以在社区轻松接受治疗。对癫痫发作类型进行有序分类、全面管理以及及时转诊难治性癫痫，将有助于改善癫痫儿童的护理。
