Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Semin Neurol. 2020 Dec;40(6):638-646. doi: 10.1055/s-0040-1718720. Epub 2020 Nov 11.
Pediatric epilepsy is a highly variable condition due to age-related expression of syndromes that require specific diagnosis, evaluations, and treatments. Children with epilepsy differ from their adult counterparts in many important ways, mostly related to the age-related expression of specific epilepsy syndromes. This results in many important considerations related to the epilepsy diagnosis, classification, evaluations to determine an etiology, as well as treatment guidelines. A good understanding of these factors will help to establish an accurate epilepsy diagnosis, which in turn will guide appropriate testing and treatment decisions. In this way, patients will have improved seizure outcomes, and families will be educated appropriately and provided with the most accurate prognostic information available. The purpose of this article is to review the diagnosis, work-up, and management of pediatric epilepsy.
小儿癫痫是一种高度可变的疾病，由于与年龄相关的综合征表现，需要特定的诊断、评估和治疗。患有癫痫的儿童在许多重要方面与成人不同，主要与特定癫痫综合征的年龄相关表达有关。这导致了与癫痫诊断、分类、病因评估以及治疗指南相关的许多重要考虑因素。对这些因素的良好理解将有助于建立准确的癫痫诊断，进而指导适当的测试和治疗决策。通过这种方式，患者的癫痫发作结果将得到改善，并且患者家属将得到适当的教育，并提供最准确的可用预后信息。本文的目的是回顾小儿癫痫的诊断、检查和管理。
