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Electroclinical features of paediatric conditions 

Electroclinical features of paediatric conditions
Chapter:
Electroclinical features of paediatric conditions
Author(s):

Sushma Goyal

DOI:
10.1093/med/9780199688395.003.0034
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date: 03 April 2020

Paediatric epilepsy is one of the most challenging aspects of clinical neurophysiology, as it is a dynamic entity in continuous evolution. A sound clinical understanding based on clinical history and examination combined with the ability to interpret paediatric electroencephalogram (EEG) is imperative prior to considering a diagnosis of epilepsy in children. A multidisciplinary approach involving regular communication between the referring physician, paediatric neurophysiologist, neuroradiologist, and geneticist is helpful as the child grows and the epilepsy becomes apparent. In a clinical setting, the primary aim is to diagnose seizure type(s) and distinguish it from the multitude of conditions that mimic epilepsy. The secondary aim is to define the electroclinical syndrome and aetiology, where possible, to guide treatment and prognosis. . In this chapter, the major paediatric epilepsies will be described according to the age of presentation from neonatal period, infancy, childhood, and adolescence as this approach mirrors clinical practice.

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