Up to 3% of children under the age of 15 years will experience a seizure and many more will have a paroxysmal event.
It is a common reason for children to present to health care professionals. Interpretation of these events can be challenging.
When a seizure is expected, investigations can be performed (such as an EEG) which add collateral evidence for the diagnosis.
It is important to come to a syndromal diagnosis as this has implications on investigations, management and prognosis.
The International League Against Epilepsy (ILAE) is closely involved in the classification of Seizures and Epilepsies. Children should have a diagnosis in keeping with this classification.
The following document provides an detailed information on the revised classification of seizure types by the ILAE in 2017:
- Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology
In 2014, the ILAE Commission on Classification and Terminology also released an online Diagnostic Manual for Epilepsy, called epilepsydiagnosis.org which provides further useful information.