Vidaurre Jorge, Weisleder Pedro
Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, USA.
Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, USA. E-mail:
Medicina (B Aires). 2018;78 Suppl 2:52-56.
Paroxysmal events are commonly encountered in toddlers. These events include a variety of conditions with different manifestations and pathophysiology. For that reason, the diagnosis of these events can be challenging. In some instances, studies such as EEG and polysomnogram may be useful to differentiate between epileptic and non-epileptic events. In the majority of cases, a complete clinical history is enough to make an appropriate diagnosis. In this article, we review some of the most common paroxysmal non-epileptic events affecting toddlers, such as: tics, dyskinesias, sleep related events, etc. We also discuss diagnostic strategies and treatment options.
发作性事件在幼儿中很常见。这些事件包括各种具有不同表现和病理生理学的病症。因此,对这些事件进行诊断可能具有挑战性。在某些情况下,脑电图(EEG)和多导睡眠图等检查可能有助于区分癫痫性和非癫痫性事件。在大多数情况下,完整的临床病史足以做出恰当的诊断。在本文中,我们回顾了一些影响幼儿的最常见的发作性非癫痫性事件,例如:抽搐、运动障碍、睡眠相关事件等。我们还讨论了诊断策略和治疗选择。