TITLE

Recovery of consciousness after epileptic seizures in children

AUTHOR(S)
Allen, J. E.; Ferrie, C. D.; Livingston, J. H.; Feltbower, R. G.
PUB. DATE
January 2007
SOURCE
Archives of Disease in Childhood;Jan2007, Vol. 92 Issue 1, p39
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To investigate the duration of postictal impairment of consciousness and the factors that affect it. Patients and methods: 90 children aged 1-16 years (37 male, 53 female, median age 6 years), attending the accident and emergency department, and inpatients of Leeds General Infirmary, Leeds, UK, who had experienced seizures involving impairment of consciousness. Interventions-hourly modified paediatric coma scores were determined, until a coma score of 15 was obtained. Linear regression analysis was used to determine the factors influencing recovery time. Results: 49 children were excluded owing to incomplete coma scoring, lost notes and refusal of consent. Median time for full recovery of consciousness was 38 mm (0.63 h, range 0.05-17 h). Median recovery time was 1 8 mm (0.3 h, range 0.05-9 h) from febrile seizures, which was significantly shorter than for seizures of other aetiologies (p<0.05), 1.35 h (range 0.07-13.13 h) from idiopathic seizures, 1.25 h (0.07-12.1 h) from remote symptomatic seizures and 4.57 h (0.25-17 h) from acute symptomatic seizures. Median recovery time after the use of benzodiazepines was 3.46 h (range 0.08-14.25 h), and was significantly longer (p<0.05) than for seizures not treated with benzodiazepines (median 0.47 h, range 0.05-17 h). Age, sex, seizure type and duration did not significantly affect recovery time. Conclusions: Most children experiencing febrile seizures recover within 30 mm. An acute symptomatic aetiology should be considered if recovery takes >1 h.
ACCESSION #
23779055

 

Related Articles

  • AURA. TATUM IV, WILLIAM O.; KAPLAN, PETER W.; JALLON, PIERRE // Epilepsy A to Z: A Concise Encyclopedia;2009, p41 

    An encyclopedia entry for "aura" is presented. It refers to a term, restricted to patients suffering from partial-onset seizures, that is used to identify the initial clinical symptoms that signal the occurrence of a seizure. It is behavioral symptoms that are presented at seizure onset or...

  • CONSCIOUSNESS. Tatum IV, William O.; Kaplan, Peter W.; Jallon, Pierre // Epilepsy A to Z: A Concise Encyclopedia;2009, p83 

    An encyclopedia entry for "consciousness" is presented. It refers to the degree of awareness and responsiveness available to a individual to be able to react to an external stimulus with an ability to partially recall internal or external events that have occurred. It relates the features of...

  • ELECTROENCEPHALOGRAPHIC EVALUATION IN PATIENTS WITH IMPAIRED CONSCIOUSNESS. Roceanu, A.; Mindruta, I.; Ene, A.; Copaciu, E.; Bajenaru, O. L.; Bajenaru, O. A.; Tiu, C. // Romanian Journal of Neurology;2013, Vol. 12 Issue 4, p169 

    The electroencephalographic examination (EEG) records spontaneous electrical activity generated in the cerebral cortex. The EEG is abnormal in almost all conditions associated with impairment of the level of consciousness. When consciousness is impaired the EEG becomes slowed (episodic or...

  • Seizures and Epilepsy in Childhood. Shearer, Anne // Exceptional Parent;Aug99, Vol. 29 Issue 8, p64 

    Focuses on the occurrence and treatment of seizures and epilepsy in childhood. Comparison between benign and less benign epilepsies; Causes of epilepsy; Disorders that accompany epilepsy; Signs of seizures. INSETS: Timmy Finnigan;Myths and Facts;Olivia Kehoe.

  • Infantile Spasms--A Seizure Disorder of Infancy. Kurth, Matthias C. // Exceptional Parent;Sep2001, Vol. 31 Issue 9, p74 

    Provides information on infantile spasms (IS), a rare condition found primarily in children under the age of one year. When the condition usually begins; Causes of IS; Potential agents for the treatment of IS.

  • Epilepsy and Disorders of Consciousness. Cavanna, A.E.; Cavanna, Andrea Eugenio // Behavioural Neurology;2011, Vol. 24 Issue 1, p1 

    No abstract available.

  • Could Neuro-Phenomenology Deepen an Interpretative Phenomenological Analysis of Seizure Consciousness Drawings? Featherstone, Valerie A.; Sandfield, Anna; Campion, Peter // Qualitative Report;12/30/2013, Vol. 18 Issue 52, p1 

    This article proposes a methodological stance, an Interpretative Phenomenological Analysis (IPA) of participants' drawings as one that is useful for research into people's experiences of seizure consciousness. Using empirical examples located in an original, larger study, this article offers a...

  • The Current State of Absence Epilepsy: Can We Have Your Attention? Tenney, Jeffrey R.; Glauser, Tracy A. // Epilepsy Currents;May/Jun2013, Vol. 13 Issue 3, p135 

    No abstract available.

  • CONVULSION. Tatum IV, William O.; Kaplan, Peter W.; Jallon, Pierre // Epilepsy A to Z: A Concise Encyclopedia;2009, p85 

    A definition of the term "convulsion" is presented. It refers to a generalized seizure with generalized motor movements that occur with jerking movements and loss of consciousness during the seizure. It has been used as a term for tonic, tonic-clonic, clonic-tonic-clonic and repetitive myoclonic...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics