PRESENTATION 2
ACLERA, JERCHIE ANTHONY
BATALAO, DANA KAYE
BAHNI, JERAMEEL
GO, JAMIE RONICA
MANONGSONG, MARJORIE
OFTANA, JAZEL
RAGUDO, JOANNE
SALTING, REYGIE
SYGUAN, MICHELLE
YADAV, RAM
BAMUNUGE, DILEEPA
Case 2
Elizabeth J. is a 3 year old with mixed seizures disorder. You
are asked to evaluate her in your clinic. She was a 7 lbs
product of a full term, uncomplicated pregnancy and there
was no pre-natal complication. She developed normally
during her first year. One day, at 18 months, she was noted
to be irritable and anorexic. She developed chronic jerking
on her left arm, lasting for 10 minutes. When her mother
found her temperature to be 103 f rectally. She rushed her
to the hospital. There her focal seizures recurred. It
generalized and persisted until it was terminated with IV
Phenobarbital 23 minutes later.
YES
-Febrile seizures are also age dependent and are rare before 9 mos
and after 5 yr of age. The peak age of onset is 1418 months of
age and the patient is 18 months old so she is at the peak of onset
of developing a febrile seizure.
Contd
Usually the seizure lasts for few seconds and rarely up to 15 min
however in the second seizure attack of the patient the duration is
>15 min and she had a repeated convulsions within 24 hours so
the febrile seizure of the patient is described as COMPLEX OR
COMPLICATED FEBRILE SEIZURE.
PRIORITY
VENTILATION
EEG
indicated in all cases of epilepsy and is useful for determining the type
of epilepsy and the future prognosis.
Contd
Pharmacologic therapy:
Contd
The use of intermittent oral diazepam also has been found to reduce the risk of
recurrent febrile seizures, but the effectiveness is limited. Hyperactivity was the
most common side effect in the oral diazepam group, and other side effects
included lethargy, ataxia, and drowsiness.
For patients who have an ongoing seizure at the time of assessment, intravenous
diazepam (0.2 to 0.5 mg per kg of weight intravenously every 15 minutes
for a cumulative dosage of 5 mg in children one month to five years of
age) often is effective.
Surgical Options: