Epilepsy FAQs - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question Category : Epilepsy
Nearest hospital is 1.30 hrs from my chamber. Often a case of seizure becomes a matter of investigations which requires hospitalization.But if I give anticonvulsants in my chamber & the seizure ceases, there is often hospital refusal on the ground that there is no indication to admit the child. Shall I allow the convulsion to persist for hospitalization only?? Check Out the Answer
Question Category : Epilepsy
How Diazepam infusion is used for refractory seizures? What is the dosage? Check Out the Answer
Question Category : Epilepsy
To control refractory seizure diazepam is better or epsolin for an infant, when others are not available during episode? Check Out the Answer
Question Category : Epilepsy
A small girl who has been diagnosed as childhood epilepsy does not have any attack in daytime but at night when she goes to sleep after half an hour in sleep she gets the attack, This happens when she is sound asleep and she keeps staring will not responsed? But in 15-20 mins she then says she wants to sleep after that she comes to normal. Is there any solution or comment? Check Out the Answer
Question Category : Epilepsy
A 15 year old female has been epileptic for 10years. She is on double therapy, tegretol 800mg+clonazepam 2mg/day. FH is +ve for epilepsy & MR. there has been no dramatic response to that treatment, What could be done? CAT scan is negative. Check Out the Answer
Question Category : Epilepsy
Hi sir, what is physiology and pathogenesis of febrile seizures? What are predisposing factors for febrile seizures? Which viral and bacterial agents mainly are capable of causing them? Check Out the Answer
Question Category : Epilepsy
What is the role of using ACTH in treatment of infantile spasm? What is the new generation of anticonvulsant drugs? & what is the advantages above the old one? Check Out the Answer
Question Category : Epilepsy
A 7 yrs old child a known case of seizure disorder was on oral phenytoin from some local practioner for one year. Seven months back he had a episode of gen seizure and was in status. He was managed conservatively and it was noticed that he was having inadequate dose of phenytoin.A repeat EEG was done which showed a seizure activity, neuroimaging was normal study. He was started on sod;valporate in stead of phenytoin ( valporate dose-25mg/kg/day),he remained seizure free for seven months after that but now again he had a gen;seizure but not status. Do I need to start any other add on drug like Lamotrigine? I simply increased the dose of valporate to (30mg/kg/day) with which seizures are well controlled? Check Out the Answer
Question Category : Epilepsy
In surgical management of epilepsy for presurgical evaluation,wada(intracarotid injection of ambrotone to locate dominant hemisphere)is mentioned. Can you please explain what is it? 2)what is functional MRI?(ref for both nelson page 2005) Check Out the Answer
Question Category : Epilepsy
Can you suggest the treatment for MYOCLONIC jerks? Check Out the Answer
Question Category : Epilepsy
Dear sir, I will tell you some of the problems, I face in Iraq. Most of the epileptic patients. are on valproate and now it is not available in Iraq. What should I do...? Check Out the Answer

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