Stepping outside the box: an adolescent with a new-onset seizure.

Autor: Howell CM; From the *Joint Army and Air Force Emergency Medicine Physician Assistant Doctoral Program, San Antonio Military Medical Center; and †Children's Hospital of San Antonio, San Antonio, TX., Davis MS, Callanan DL
Jazyk: angličtina
Zdroj: Pediatric emergency care [Pediatr Emerg Care] 2013 Sep; Vol. 29 (9), pp. 1011-2.
DOI: 10.1097/PEC.0b013e3182a32065
Abstrakt: First-time seizures are frightening to children and their families, but the practice parameter recommends minimal evaluation in the emergency department (ED) for the child who presents in a neurologically normal state. We report a 12-year-old girl with seizure whose evaluation in the ED included a computed tomographic scan, largely because of parental anxiety. Computed tomography demonstrated a cerebral cavernous hemangioma or cavernoma. Because of the high recurrence risk of seizures with cavernomas, she was discharged from the ED with a prescription for an antiepileptic drug.
Databáze: MEDLINE