Emergency Medical Minute Podcast #311: Recurrence of Seizures in Pediatrics
Mar 28, 2018
Explore the intriguing statistics on the recurrence of unprovoked seizures in children. The discussion highlights that the risk increases significantly over time, with 30% at four months. Factors like age under three and initial seizure presentation play crucial roles. This vital information aids in guiding families on follow-up care and prognosis, ensuring they are well-informed about their child's health.
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Seizure Recurrence Rates
- First-time unprovoked seizures in children have a notable recurrence rate.
- 5% recur within 48 hours, 14% within two weeks, and 30% within four months.
Risk Factors for Recurrence
- Children under three, those with multiple initial seizures, and those with focal neurological findings have higher recurrence risks.
- This information is useful when counseling patients and recommending follow-up.
Patient Counseling and Follow-up
- Advise parents about the likelihood of seizure recurrence, especially within a few months.
- Encourage follow-up with a neurologist for further testing and potential medication.