Clinical Case Database / Category: Case Based Discussion

Childhood epilepsy

Publication details

Dr Daniel Hawley BMBS BMedSci MRCPCH, Dr Satyapal Rangaraj MBBS MRCPCH MPCP(UK) DCH
Foundation Years Journal, volume 2, issue 10, p.379 (123Doc Education, London, December 2008)

Abstract

Cherie, a 7-year-old girl, has been referred to paediatric outpatients following four “fits”. The GP letter states on each occasion Cherie has “had jerking of her arms and legs, lasting 3–4 minutes”. Cherie is otherwise well, with no significant past medical history and normal development.

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Authors

Dr Daniel Hawley BMBS BMedSci MRCPCH

Children’s Services
Nottingham University Hospitals NHS Trust

Dr Satyapal Rangaraj MBBS MRCPCH MPCP(UK) DCH (Corresponding author)

Consultant Paediatrician
Queens Medical Centre Campus
Nottingham University Hospitals NHS Trust
Derby Road
Nottingham NG7 2UH
Satyapal.Rangaraj@nuh.nhs.uk

References

1 Hindley D, Ali A, Robson C, Diagnoses made in a secondary care “fits, faints and funny turns clinic”. Arch Dis Child, 2006, 91:214–218.
2. Agrawal S, Whitehouse WP. Evaluation of the first episode of a possible fit in a child. Current Paediatrics, 2006, 16(5):322–327.
3. Engel J. ILAE Commission Report; Proposed Diagnostic Scheme for the classification of Epileptic Seizures and Epilepsy: Report of the ILAE Task Force on Classification and Terminology. Epilepsia, 2001, 42(6):796–803.
4. Scottish Intercollegiate Guidelines Network. 81; Diagnosis and management of epilepsies in children and young people. A national clinical guideline.
5. Sillanpaa M, Schmidt D. Prognosis of seizure recurrence after stopping antiepileptic drugs in seizure-free patients: A long-term population-based study of childhood onset epilepsy. Epilepsy Behav, 2006, (8):713.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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