Children's epilepsy resource for Clinicians

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Approach to Diagnosis

 

Up to 3% of children under the age of 15 years will experience a seizure and many more will have a paroxysmal event. It is a common reason for children to present to health care professionals. Interpretation of these events can be challenging.

 

When a seizure is expected, investigations can be performed (such as an EEG) which add collateral evidence for the diagnosis.

 

It is important to come to a syndromal diagnosis as this has implications on investigations, management and prognosis.

 

The International League Against Epilepsy (ILAE) is closely involved in the classification of Seizures and Epilepsies. Children should have a diagnosis in keeping with this classification.

  

In 2014, the ILAE Commission on Classification and Terminology released an online Diagnostic Manual for Epilepsy, called epilepsydiagnosis.org.

 

You can visit the website by clicking on the link below:

https://www.epilepsydiagnosis.org/

 

 

The following document taken from the above website, provides a visual overview of the ILAE Revised Terminology for Organisation of Seizures and Epilepsies (2011-2013):

ILAE Revised Terminology for Organisation of Seizures and Epilepsies

 

 

 

 

 

 

This page was created in March 2012.  It was last reviewed without modification in December 2017.