Part 10: Pediatric Epilepsy Board Prep Q&A

Child Neurology Board Prep

Summary

This podcast episode covers various cases in child neurology, focusing on different types of seizures, their diagnosis, management, and implications, especially in special populations like pregnant women. The discussion includes psychogenic non-epileptic seizures, language regression in children, the impact of anti-seizure medications during pregnancy, and urgent treatment protocols for status epilepticus. The episode also addresses genetic factors in epilepsy, the ketogenic diet for specific conditions, and the importance of timely diagnostics in cases of syncope and seizure disorders.

Takeaways

• Psychogenic non-epileptic seizures are triggered by emotional stress.
• Video EEG is the gold standard for diagnosing PNES.
• Lundukreffner syndrome leads to language regression due to ESES.
• Valproic acid can lower IQ in children exposed in utero.
• IV midazolam is crucial for treating status epilepticus without IV access.
• Simple febrile seizures require reassurance and follow-up.
• ACTH is the gold standard treatment for infantile spasms.
• SCN1A mutation is linked to prolonged febrile seizures.
• Ketogenic diet is effective for Glut1 deficiency.
• Long QT syndrome requires urgent EKG assessment.

Titles

• Understanding Psychogenic Non-Epileptic Seizures
• Exploring Language Regression and ESES

Sound Bites

• "The answer is SCN1A mutation."
• "The answer is ketogenic diet."
• "This is called hypercaplexia."

Chapters

00:00
Introduction to Child Neurology Cases

03:04
Exploring Language Regression in Children

05:16
Status Epilepticus: Initial Treatment Strategies

06:34
Infantile Spasms and Treatment Options

07:20
Genetic Considerations in Prolonged Febrile Seizures

08:15
Understanding Glut1 Deficiency

09:02
Hypercaplexia and Its Genetic Basis

10:18
Epilepsy with Grand Mal Seizures on Awakening

11:05
Long QT Syndrome and Syncope During Exercise

11:39
Management of Juvenile Myoclonic Epilepsy in Pregnancy

12:30
Silent Ocean