Seizures are one of the most common neurological manifesting symptoms in the pediatric age-group.
Neonates experience a higher incidence of seizure than older children with a specific origin identified in most cases.
Electroencephalography (EEG) should be the first-line diagnostic evaluation to identify the focus of origin and type of seizure.
Imaging is recommended in certain situations: A computed tomographic (CT) head scan should be obtained without delay when trauma and intracranial hemorrhage are suspected. Magnetic resonance imaging (MRI) is recommended for focal/multiple seizures, status epilepticus, an underlying condition with seizure risk, atypical neurological examination findings, or focal abnormalities on EEG.
Immediate management should focus on opening the airway, supporting breathing, and preventing injuries. Intravenous (IV) lorazepam 0.05 to 0.10 mg/kg can be given over 2 to 5 minutes for a seizure lasting longer than 5 minutes.