Child Neurology Society's Brainstorm CNS Brainstorm Episode 41 "First Time Seizures" with guest Aaron Nelson, MD, MBS, FAAP, FCNS
May 31, 2025
Aaron Nelson, MD, MBS, FAAP, FCNS, an expert in pediatric neurology and director of epilepsy at Bellevue Hospital, explores critical insights about first-time seizures in children. He breaks down the implications of abnormal neuron firing and common misconceptions surrounding seizures. Nelson discusses the importance of diagnostic evaluations, the balance between treating children and addressing parental concerns, and how rescue medications can be managed. He also highlights the value of seizure monitoring devices and education for families navigating this challenging experience.
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What Is a Seizure?
- Seizures occur due to abnormal neuron firing in the brain's cortex, affecting normal function and behavior.
- This abnormal activity can cause symptoms like staring, stiffening, jerking, or cognitive changes.
Seizure Prevalence Insight
- About 10% of people will have at least one seizure in their lifetime, with higher rates in certain populations.
- Children on the autism spectrum have nearly a one in three chance of having seizures.
First-Time Seizure Emergency Care
- Treat any first-time seizure as an emergency and evaluate airway, breathing, and circulation promptly.
- Identify and treat underlying causes like stroke, infection, or metabolic disturbances immediately.