Seizure / Paroxysmal Events

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Distinguish between seizures and paroxysmal events.
2. Distinguish between simple febrile, complex febrile and non-febrile seizures.
3. Distinguish between generalized and focal seizures.
4. Recognize the clinical features and propose a management plan for patients with status epilepticus, arrhythmia, and syncope.
5. Recognize the clinical features of Brief Resolved Unexplained Events and breath-holding spells.

Half Day Cases

• A 15 month old child is with the baby sitter. The baby sitter took a toy away from her, at which time she started crying, then stopped and turned blue. She had 15 seconds where she lost consciousness. EMS was called and she is now in the emergency department.
• A 2 year old has had vomiting, diarrhea and fever for 2 days. Today, the family witnessed a sudden event where his body stiffened up, and then he started having full body shaking. This lasted for 3 minutes. EMS brought the child to the Emergency Department. En route in the ambulance, another episode occurred. The child is now in the Emergency department