Pediatria pre prax 1/2006

NONEPILEPTIC SEIZURES IN CHILDREN

Similarly as in adults we can encounter various disorders of seizure character that more or less resemble epileptic attacks. An incorrect diagnosis of epilepsy places a child into an unnecessary stress and risks associated with antiepileptic treatment, regardless the negative consequences in psychological and social area. In addition. many clinical entities have a suitable treatment. Somatically dependant attacks prevail among nonepileptic seizures. Many of them are related to a certain period of child development. Psychologically dependent attacks manifest rather in older school age or adolescence. A carefully taken history plays a decisive role in a differential diagnostic analysis. EEG is usually indicated and in some cases a monitored EEG simultaneously with video recording.

Keywords: nonepileptic seizures, children, epilepsy, differential diagnosis.