SUDDEN PAROXYSMAL EVENT

Seizure Non-epileptic paroxysmal event Symptomatic Non- Symptomatic •Drugs •Infection •Meningitis* •Encephalitis* •Brain abscess •Febrile seizure* •Metabolic •Hypoglycaemia* •Hyponatremia/hypernatremia* •Hypocalcaemia •Hypoxic-ischemic insult •Structural •Brain tumour*, other space occupying lesion •Congenital structural anomalies (eg. Tuberous Sclerosis, Sturge-Weber Syndrome) •Abusive head trauma*, other traumatic brain injury •Stroke/intracranial bleed C. If not a symptomatic seizure: 1. What kind of seizure? (See ILAE Classification of Seizure types) 2. What is the age of the child? 3. Are they developmentally normal or abnormal? ***Epilepsy is TWO unprovoked seizures Sudden Paroxysmal Event Seizures/Paroxysmal Events: Approach to paroxysmal event Author: Dr. Theresa Wu Reviewer: Dr. Susan Bannister, Dr. Carrah Bouma, Dr. Alice Ho Student Reviewer: Christopher Spence A: Is this a seizure? Clues: Non suppressible, decreased LOC, rhythmic movements, eye deviation, post-ictal, incontinence Yes No B: Is this seizure SYMPTOMATIC of something else? Yes No See “Seizures/Paroxysmal Events: Approach to Pediatric Epilepsies” See “Seizures/Paroxysmal Events: Approach to non-epileptic paroxysmal events” *Indicates Key Condition This is not an exhaustive list of medical conditions.