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82: Seizures
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Published:May 2023
Philip Overby, MD, Mary Helen Brennan, MD, FAAP, "Seizures", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Approximately 5% of children will have a seizure by 16 years of age. The goals of the initial evaluation are to recognize whether the seizure has stopped or if there is concern for status epilepticus, identify potential treatable causes, decide whether to start seizure medications, and determine when the patient can be discharged or if further diagnostic evaluation and management are indicated.
Generally, the patient and family want to know why the seizure occurred, what tests are necessary, if medication is required, and if a seizure will happen again.
The context in which the seizure occurs is crucial and guides...
