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Feature Article

An approach to epilepsy in children and adolescents

Annie Bye

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Abstract

The syndromal diagnosis of epilepsy, which is based on seizure type, clinical features and EEG data, directs the further investigation of the condition and determines the choice of medication.

Key Points

  • The precise classification of the particular epilepsy syndrome determines the management of the patient. The seizure semiology, clinical features and EEG data define the syndrome.
  • Seizures are classified as generalised or partial.
  • Generalised seizures may be tonic–clonic, tonic, atonic, myoclonic or absence.
  • Partial seizures are simple, complex or secondarily generalised.
  • The syndromal diagnosis assists in determining the investigation plan, choice of drug management and prognosis.

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