Seizure disorders

The management of children with seizures requires proper classification of the seizure type, completion of the etiological investigation, and administration of appropriate therapy. In this report we have emphasized the medical strategies used in diagnosing and treating epilepsy and have provided information on the newest antiepileptic drugs. With proper evaluation and management, control of seizures can be expected in the majority of patients. Despite our emphasis on anticonvulsants, care must extend beyond the use of pharmacotherapy. Seizures are frightening and distressing experiences, both to affected individuals and to those who witness the events. The treating physician must realize that a patient with seizures has intrinsic anxieties and faces social, educational, and vocational restrictions. Psychosocial management is therefore an essential component of comprehensive care. Further information can be obtained through books available for families or the nonprofit Epilepsy Foundation of America, National Headquarters, 4351 Garden City Drive, Landover, MD 20785; phone (301) 459-3700 or (800) EFA-1000.