Podcast #311: Recurrence of Seizures in Pediatrics
Emergency Medical Minute · medicalminute
March 28, 20182m 21s
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Show Notes
Author: Aaron Lessen, M.D.
Educational Pearls:
- Recurrence rate for first time unprovoked seizures - 5% after 48 hours, 14% at 2 weeks , 30% after 4 months.
- Higher risk for recurrence: age under 3; patients with multiple seizures at initial presentation, focal neurologic findings on initial presentation.
- Useful for counseling patients and recommending follow up.
References:
Shinnar S, Berg AT, Moshé SL, et al. Risk of seizure recurrence following a first unprovoked seizure in childhood: a prospective study. Pediatrics 1990; 85:1076.