• Seizures - acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
    medication has passed Avoid CT in children with established epilepsy after a typical seizure, unless … be considered if the child is <12 months or has a known genetic condition Self-limited epilepsy … with centrotemporal spikes (SeLECTS) (also known as benign focal epilepsy of childhood (BFEC), childhood epilepsy …
  • Infantile spasms
    www.rch.org.au/clinicalguide/guideline_index/Infantile_spasms/
    relates to one of the most common severe epilepsy syndromes in infants IS are typically sudden, brief …, and high rates of ongoing epilepsy Assessment 1. Are the infant's episodes IS? Encourage parents to record … diagnosis Non-epileptic episodes eg shuddering, Sandifer syndrome, sleep myoclonus Benign myoclonic epilepsy …
  • Febrile seizure
    www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
    seizures in children less than 18 months Genes have been identified in families with "genetic epilepsies … conditions History of developmental delay or regression Family history of febrile seizures, epilepsy … epilepsy syndromes Management Investigations A simple febrile seizure does not require additional …
  • Cerebral palsy - increased seizures
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Increased_Seizures/
    of Child Neurology. 2015. 30(12) p 1640-1645. Karim, T et al. Improving epilepsy control among children ….1136/bmjopen-2021-052578 Latzer, IT et al. Prediction of Drug-Resistant Epilepsy in Children … Sept 2022). NICE guideline [NG217]. Epilepsies in children, young people and adults. 2022. Retrieved …
  • Cerebral palsy
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
    such as epilepsy, musculoskeletal problems and recurrent infections and often encounter impairment in development … Epilepsy In up to 50% See Cerebral palsy -- increased seizures Gastrointestinal disorders Increased risk …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    and extracerebral abscesses, malaria Neurological Epilepsy: Post-ictal phase, status epilepticus Raised intracranial …
  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    occupying lesion Past history: unstable epilepsy, neuromuscular disease Other Acute: unstable psychiatric …
  • Functional somatic symptoms
    www.rch.org.au/clinicalguide/guideline_index/Functional_somatic_symptoms/
    examination that is reproducible and congruent new onset seizures with features concerning for epilepsy …
  • Acute pain management
    www.rch.org.au/clinicalguide/guideline_index/Acute_pain_management/
    /risk factors for respiratory depression Avoid in epilepsy (lowers seizure threshold) Avoid in young …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    , subsequent epilepsy If fever persists after 4-6 days of treatment, consider: nosocomial infection subdural …