📩 30/03/2023 13:08
From the Department of Pediatric Neurology at Memorial Bahçelievler Hospital, Uz. Dr. Selvinaz Edizer gave information about the interventions that should be done to children with seizures.
“Feverish seizures are usually genetic”
Stating that febrile seizures are related to the low fire resistance of the child, Uz. Dr. Selvinaz Edizer says, “There is usually a family history at the bottom. There is no specific treatment or follow-up for these, but when it recurs frequently and there are familial reasons, it may be necessary to check with EEG or start medication.” said.
Upset. Dr. Selvinaz Edizer stated that epilepsy is a disease seen in 1-5 percent of childhood and said, “Although the exact cause is not known, there may be many reasons related to genetic, metabolic and developmental processes in general. The child's brain may experience some abnormal electrical charges until the adult brain reaches its time, most of which are seen as epileptic seizures and may require treatment. It's not always feverish, but it can also trigger a fever. 60-65 percent of epilepsy is curable. About 50-60 percent of them are benign epilepsies of childhood. The remaining 20-25 percent group constitutes resistant epilepsy.” he said.
“Non-drug treatments draw attention in resistant epilepsy”
"25 percent of epilepsy patients are resistant to epilepsy drugs," said Uz. Dr. Selvinaz Edizer, “Patients whose seizures continue despite two or more antiepileptic drugs are called resistant epilepsy. In these patients, the rate of benefit from an additional drug now varies between 1-5%. Therefore, non-drug treatments are recommended for these patients. These treatments are according to the patient's suitability: epilepsy surgery, ketogenic diet therapy and epilepsy pacemaker therapy called vagal nerve stimulation. Epilepsy surgery; It is the surgical removal of the focus that initiates the epileptic activity of the patient. It is successful in suitable patients. However, it is a procedure with post-operative complications.” used his statements.
“The ketogenic diet applied in refractory epilepsy patients is a medical treatment method”
Talking about ketogenic diet therapy, Uz. Dr. Selvinaz Edizer continued:
“It is a purely medical treatment diet. In the group with resistant epilepsy; It is a type of diet applied with menus adjusted as high fat, low protein and carbohydrate ratio. The anti-seizure effect has been reported between 45% and 66%, and this rate increases even more in appropriate patient groups. It is a form of treatment that is somewhat difficult to apply and has complications. It is very important for the family to be able to follow up with the compliance of the patient. In addition to its anti-seizure effect, it has been observed in most patient groups that it slightly increases the movement capacity and improves perceptual functions, the mechanism of which has not been understood until now.”
“Epilepsy pile reduces seizures, and in some patients, it can completely eliminate it”
Upset. Dr. Selvinaz Edizer said that epilepsy battery (vagal nerve stimulation) can be evaluated in patients with suitable resistant epilepsy, for example, in children who have used two or more drugs but still have seizures. Upset. Dr. Selvinaz Edizer said, “Basic treatment in the form of a surgical procedure is applied depending on the suitability. The logic of the battery is a treatment method in the form of stopping the long-lasting seizures of the patient and reducing the seizures of the patient in the long term, like a drug, and ending them in some patients. There is a magnet on the wrist, it has an electrode in the neck. In children with long seizures and long intensive care stays, the seizure can be terminated by touching the magnet to the neck.” said.
“Do not interfere with the child who has a seizure without learning these”
Stating that children with seizures should be intervened correctly, Uz. Dr. Selvinaz Edizer said, “The most important thing is to control the airway. The child should be placed on a hard surface. It should be turned to the right or left. Because intraoral secretion and saliva should not escape back. Nothing should be put into his mouth and his tongue should not be tried to be pulled out. It should be followed in the side position, keeping the head slightly back. If the seizure lasts for 2-3 minutes and continues, 112 should be called and preparations should be made to go to the hospital. The child should never be put under water or water should be poured on him. Unconscious approaches can worsen this picture seen in children. It is very important for parents to be knowledgeable about this issue and to stay in touch with their doctors.” warned.