User talk:Ayub05

Definition:

Epilepsy
Definition: Epilepsy is charaterized by episodic, paroxymal , involuntary clinical events associated with recurrent, disorderly discharge from the nervous tissue. A brain disorder in which a person has repeated convulsions  over time to time. Convulsions are sequences of troubled brain activity that cause alters in attention or behavior.

one to seven percent of all children are estimated to suffer from epilepsy. It is highest in preschool years.

For the purpose of clinical description epilepsy may be broadly described as generalized or partial (focal). Generalized seizures may be                                                                             (i) tonic, clonic or tonic-clonic, (ii) absence fits(petit mal) (iii) atonic ,akinetic, or minor motor (iv) myoclonic & others.

doctorscare24's Pediatrics

Here i will discussed about abscence attacks- the hidden seizures

Absence attacks

Petit mal epilepsy: Absence seizures start in childhood, usually between the ages of 4 and 5 years. The peak prevalence is in children between 6 and 8 years old. The illness usually disappears before the age of puberty. Even in children, absence seizures are much less common than tonic-tonic seizures. A typical attack of seizures are much less common than tonic-tonic seizures. A typical attack of absence seizures is not preceded by an aura. These patients have a brief abrupt lapse of awareness or consciousness. Patient may show sudden staring spell, eye fluttering (clo nic jerks of eyelids), or rhythmic movements. The seizure lasts for less than 30 seconds. There is no change for posture, incontinence of urine and stools or breathing difficulty. Other neurological manifestations are absent and development is normal. Unaware of the nature of their illness, their school teachers may consider them inattentive pupils.

Post-ictal drowsiness and confusion do not occur and the patient can resume normal work soon after the seizure. The bladder and bowel controls are not lost. Hyperventilation often precipitates the attack. Absence seizures may occur in multiples, every day. Attacks following in close succession indicate 'petit mal status or pyknolepsy'.

About half of patients become seizure free and the rest develop tonic-tonic fits. This is particularly common in children with a very early or late onset of absence fits. Learning disabilities and behavior disorders when present are probably related to associated conditions. Electroencephalogram shows a characteristic 3 per second spike and slow wave pattern. Absence fits are distinguished from complex partial seizures by shorter duration (10 seconds absence of aura and abrupt return of full consciousness.

Management of absence attack(petit mal epilepsy): Ethosuximide is the drug of choice. Sodium valproate is also effective and should be given in a typical absence fits.--Ayub05 (talk) 19:41, 15 November 2011 (UTC)--Ayub05 (talk) 19:41, 15 November 2011 (UTC)doctorscare24's Pediatrics--Ayub05 (talk) 19:41, 15 November 2011 (UTC)--Ayub05 (talk) 19:41, 15 November 2011 (UTC)--Ayub05 (talk) 19:41, 15 November 2011 (UTC)