NR 602 Week 8 Final Exam Outline: Spring 2018
Seizures Febrile seizures
- Are the most common childhood seizure, affecting 2-5% of children.
- Benign and self-limiting
- Usually occur between 3 months and 5 yrs
- Without evidence of intracranial infection or defined cause
- Peak incidence at 18 months.
- The incidence in boys is slightly higher than in girls.
- Excludes seizures with fever in children who have had a prior afebrile seizure.
- “a seizure accompanied by fever (temperature > 100.4°F or 38°C by any method)
Initial Evaluation and Management of a First Seizure in Children
- Seizures are one of the most common neurologic disorders in children. Approximately 120,000 children in the United States are seen annually for new-onset seizure. 1% of children will experience an afebrile seizure by 14 years of age.
- More than 50% of people with epilepsy had their first seizure during childhood or adolescence.
.Case Study– An 11-Year-Old Boy with Headache, Fever, and Neck Pain
11-year-old-boy was admitted to the peds ED with 5 days of headache that was bilateral, throbbing, and progressively worsening. It was associated with fever, vomiting, neck pain, and stiffness. He was previously diagnosed as having acute sinusitis, given oral amoxicillin, and discharged from the hospital. Prior to his presentation he was a healthy boy and had no history of headache, chronic illness, recent vacciations,