is a sudden change in behavior. It is caused by sudden, abnormal, and excessive electrical activity in the brain. A neonatal seizure occurs in newborn babies.
Seizures may be severe or mild. They may cause physical changes like convulsions. It may affect only part of the body or the entire body. A short seizure itself does not cause serious health conditions. Prolonged seizures can lead to permanent damage. The damage is due to decreased oxygen and excessive brain cell activity.
Abnormal and excessive electrical activity in the brain.
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A seizure may be a symptom or side effect of a more serious health condition. If your child has a seizure your doctor will want to find out what caused it.
There are a variety of causes of seizures in children, which include:
An injury or
to the head
and abscesses in the brain
Brain tumorStrokeAccidental poisoning
Certain medical conditions, including:
Low blood sugar
Very high fever (especially in children)—called
febrile seizuresElectrolyte abnormalitiesHydrocephalisCongenital diseases or deformities
Sometimes seizures occur for unknown reasons.
Factors that may increase your child's risk of having a seizure include:
Having had a previous seizureHaving a very high fever
Having health conditions like:
EpilepsyBrain tumorsBrain infectionsHaving a family history of seizures.
Seizure symptoms may include:
ConfusionUnconsciousnessStaring, or a dazed lookJerking movements of the limbs and/or body (convulsions)Difficulty breathingEyes rolling back in the headCrying or moaningVomitingUrinating
If you suspect your child is having a seizure, act quickly:
Protect from physical injury—Place your child on the floor or bed. Make sure they are not near any hard or sharp objects.Protect airway—Do not place anything in your child's mouth during the convulsion. Turn your child’s head to the side. This will allow saliva or vomit to drain from the mouth.Watch the time—The length of the convulsions should be less than five minutes.Unless the doctor has told you otherwise, call 911.
Your doctor will ask about your child‘s symptoms and medical history. A physical exam will be done. Tests may be done to look for the cause of the seizure.
Tests to look for infections may include the following:
—removal of a small amount of cerebrospinal fluid for testing
to look for infection in brain or spinal cord
Blood tests—to look for infections, low blood sugar, abnormal electrolytes, or poison
Tests to look for abnormalities in brain may include:
CT scan of the head
—a type of x-ray that uses a computer to make pictures of structures inside the head
MRI scan of the head
—a test that uses magnetic energy to make pictures of structures inside the head
—a test that records the brain’s activity by measuring electrical currents through the brain
Treatment for the seizures depends on the cause of the seizures. Some seizures will not require treatment. If the seizure is caused by an underlying condition your child's doctor will create a plan to treat that condition. Resolving the underlying condition will likely stop the seizures.
Talk with your doctor about the best treatment plan for your child. You may also be referred to a pediatric neurologist.
Anticonvulsant medication can help to prevent seizures. The medication that is used will depend on the type of seizure. These medications do have some side effects. As a result, they are often only used for severe or frequent seizures.
Medications are not usually prescribed for
. These seizures are associated with a rapid increase in temperature due to a fever. Children will outgrow these seizures by about 5 years of age. They are rarely associated with long term problems so anticonvulsant medication is rarely recommended.
Some severe seizures may be treated with brain surgery. This may occur in some children with epilepsy. During this type of surgery certain nerve fibers may be separate or a section of the brain may be removed. This surgery may help to reduce or eliminate seizures. Surgery is not done very often.
If your newborn is diagnosed with neonatal seizures, follow your doctor's
Medicine, if recommended, can usually prevent seizures. It is important to take anticonvulsant medication as needed.
Febrile seizures are may be the first sign of a fever. This can make it difficult to prevent. About 30% of children that have had a febrile seizure will have another seizure when they have a fever. Your doctor may advise that you give your child medicine to keep fever down whenever he/she gets sick.
: Aspirin is not recommended for children or teens with a current or
recent viral infection. This is because of the risk of
. Ask your doctor which other medicines are safe for your child.
Seizures can still happen despite treatment. Take the
listed above if you notice your child's behavior changing.
Febrile seizure. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php. Updated July 11, 2012. Accessed July 20, 2012.
Hogan T. Seizure disorders in childhood. Loyola University Medical Education Network website. Available at:
Accessed July 20, 2012.
Neonatal seizures. Intensive Care Nursery Staff House Manual. The University of California San Francisco Children's Hospital website. Available at:
Accessed July 20, 2012.
Seizure in children. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php. Updated April 9, 2012. Accessed July 20, 2012.
Last reviewed September 2013 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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