SEIZURE DISORDERS


Meaning of Seizure: Seizure is an abnormal electrical discharge of cerebral neurons accompanied by motors, sensary or affective phenomenon with or without loss of consciousness.

           Types of Seizure disorders
There are three types of seizures in children. These are:
(a) Neonatal seizure
(b) Febrile convulsion
(c) Eplipsy
(A) Neonatal Seizure: Neonatal Seizure is seizure in the first twenty-eight (28) days of life.
(B) Febrile convulsion: Febrile convulsion occur between six months and fives years in children.
(C) Epilepsy: Eplipsy occur after five years in children, at times it stays through out the life time of an individual.
   Of all the three types of Seizure disorder, only Febrile convulsion Wil be discussed in this page.

             FEBRILE CONVULSION
This occurs due to excessive fever as the child's thermoregulatory mechanism as not well developed to prevent it. It is an abnormal response of the developing brain to higher fever.
                
               Clinical Features
(1) Excessive high fever up to 39°C to 40°C.
(2) Occur in fifteen per on thousand case of high fever within the age group.
(3) Age is between 6 months and 5 years.
(4) Occur more in male than female
(5) there is usually a family history of Febrile convulsion.
(6) incontinence of urine and faeces
(7) post ictal sleep.
(8) it is short lasting, not more than fifteen minutes.
(9) it is a generalized type of Seizure, that is, the tonic and clonic type.
              
            Predisposing Factors
(1) malaria
(2) UTI
(3) otitis media
(4) pneumonia
(5) tonilitis
(6) measles.
 
  Management of Febrile Cconvulsion
(1) keep calm and calm down every body around.
(2) take off all the child's clothing.
(3) control fit with either of:
   (a) Im paraldehyde 1cc per year of life i.c one year 1ml, 2 years 2ml, etc. Do not exceed 5cc(ml) even if patient is over five years.
  (b) IV valium 2-5 mg slowly depending on age.
(4) clear airway: such and extend neck of baby.
(5) tepid sponge and expose to fan if Febrile.
(6) gastric wash out by Ryle's tube if any native drug has been used.
(7) take short history and examine the child properly.
(8) dextrostix = to exclude hypoglycemia.
      Blood film = for malaria parasite.
      Lumber puncture = to exclude meningitis.
(9) treat based on findings
(10) give IV fluid if child is not taking orally.

Comments

Post a Comment

Popular posts from this blog

ERECTILE DYSFUNCTION (ED)

Image
MEANING OF ERECTILE DYSFUNCTION   Erectile Dysfunction can be defined as a condition where by a man found it hard or unable to obtain or keep erection for a satisfactory sexual intercourse. Erectile Dysfunction can also be called impotence. SYMPTOMS OF ERECTILE DYSFUNCTION The following symptoms are normally associated with Erectile Dysfunction: 1. Poor libido i.e found it hard to derived sexual urge 2. Being able to get erection but not last long for penetration. 3. Being unable to get an erection at anytime  4. Fast ejaculation, etc CAUSES OF ERECTILE DYSFUNCTION (ED) Many different factors affecting your vascular system, nervous system and endocrine system can cause Erectile. Certain conditions that leads to ED; A . Diseases such as: 1. Diabetes mellitus 2. Hypertension 3. Atherosclerosis 4. Chronic kidney diseases(CKD) 5. Multiple sclerosis. 6. Prostate cancer. 7. Obesity, etc B . The use o...
Read more

PILE (HAEMORRHOIR)

Image
              PILE (HAEMORRHOIDS) Haemorrhoids are vascular structure in the anal canal, which help with stool Control. In their physiological state, they act as a cushion composed of arterio-venous channels and connective tissue that aid the passage of stool.            They become Pathological (Pile) when Swollen or inflamed. Piles are a very common ailment that may affect men and worren at any age. These are caused due to Continuous high pressure in the veins. other causes include constipation, excessive straining during bowel movements and Persistent diarrhoea.  These swellings are usually round, discoloured and small lumps. Some patients can feel these lumps on their anus or even hanging from the anal Canal. These lumps can also be painful too.                     Types of Piles Piles are divided into two categories:- internal piles and ext...
Read more