EEG for children with complex febrile seizures

Shah, Pankaj B.; James, Saji; Elayaraja, S

doi:10.1002/14651858.cd009196

Cited by 14 publications

(15 citation statements)

References 14 publications

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“…EEG is generally indicated in the case of a first afebrile seizure in children . Conversely, EEG is not recommended for febrile seizure, although there is not enough evidence to support or refute its use after complex febrile seizure in children …”

Section: Discussionmentioning

confidence: 99%

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

Sartori

Nosadini

Tessarin

et al. 2018

Develop Med Child Neuro

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Seizures were 'unprovoked' in 19.4% and 'provoked' in 80.6% of children presenting to the emergency department. At 4-year follow-up, 37.9% relapsed, and 13.6% received a diagnosis of epilepsy. 'Unprovoked' first seizure, family history of febrile seizures, and pre-existing neurological conditions were associated with recurrence. 'Unprovoked' first seizure, age younger than 6 years, and pre-existing neurological conditions were associated with epilepsy diagnosis.

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Section: Discussionmentioning

confidence: 99%

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

Sartori

Nosadini

Tessarin

et al. 2018

Develop Med Child Neuro

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“…EEG is not indicated after simple FS in neurologically normal children. A subsequent Cochrane review found no randomised control trial evidence to support or refute the use of EEG and it's timing in complex FS in neurologically normal children (Shah et al, 2017). However, it is conceivable that FS may still be a reason for EEG referral, particularly when complex, or when there is positive family history of epilepsy, or when underlying neurological pathology is clinically suspected.…”

Section: Eeg Sectionmentioning

confidence: 99%

The role of EEG in the diagnosis and classification of the epilepsy syndromes: a tool for clinical practice by the ILAE Neurophysiology Task Force (Part 2)

Koutroumanidis

Arzimanoglou

Caraballo

et al. 2017

Epileptic Disorders

105

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The concept of epilepsy syndromes, introduced in 1989, was defined as “clusters of signs and symptoms customarily occurring together”. Definition of epilepsy syndromes based on electro‐clinical features facilitated clinical practice and, whenever possible, clinical research in homogeneous groups of patients with epilepsies. Progress in the fields of neuroimaging and genetics made it rapidly clear that, although crucial, the electro‐clinical description of epilepsy syndromes was not sufficient to allow much needed development of targeted therapies and a better understanding of the underlying pathophysiological mechanisms of seizures. The 2017 ILAE position paper on Classification of the Epilepsies recognized that “as a critical tool for the practicing clinician, epilepsy classification must be relevant and dynamic to changes in thinking”. The concept of “epilepsy syndromes” evolved, incorporating issues related to aetiologies and comorbidities. A comprehensive update (and revision where necessary) of the EEG diagnostic criteria in the light of the 2017 revised terminology and concepts was deemed necessary. Part 2 covers the neonatal and paediatric syndromes in accordance with the age of onset. [Published with educational EEG plates at http://www.epilepticdisorders.com].

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“…EEG is of limited value in the evaluation of febrile seizure; although abnormalities may be present in these children, their clinical significance is unclear in predicting febrile seizure recurrence or development of epilepsy [37][38][39]. Intuitively, epileptiform discharges on the EEGs of patients with febrile seizure are important predictive risk factors for the development of epilepsy as the febrile illness lowers the seizure threshold.…”

Section: Electroencephalographymentioning

confidence: 99%

“…Studies suggest that frontal paroxysmal EEG abnormalities are associated with higher risk of epilepsy [37,39], but the frequency of EEG abnormalities in febrile seizure patients is still unclear. Although patients with CFS are more likely to develop epilepsy, it is unclear whether EEG abnormalities are predictive of epilepsy [38]. Although patients with CFS are more likely to develop epilepsy, it is unclear whether EEG abnormalities are predictive of epilepsy [38].…”

Section: Electroencephalographymentioning

confidence: 99%

Febrile seizures

Kimia

Bachur

Torres

et al. 2015

Current Opinion in Pediatrics

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Routine diagnostic testing for simple febrile seizures is being discouraged, and clear evidence-based guidelines regarding complex febrile seizures are lacking. Thus, clinical acumen remains the most important tool for identifying children with seizures who are candidates for a more elaborate diagnostic evaluation. Similarly, evidence and guidelines regarding candidates for an emergent out-of-hospital diazepam treatment are lacking.

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EEG for children with complex febrile seizures

Cited by 14 publications

References 14 publications

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

First‐ever convulsive seizures in children presenting to the emergency department: risk factors for seizure recurrence and diagnosis of epilepsy

The role of EEG in the diagnosis and classification of the epilepsy syndromes: a tool for clinical practice by the ILAE Neurophysiology Task Force (Part 2)

Febrile seizures

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