RT Book, Section
A1 Holland, Katherine
A2 Hershey, Andrew D.
SR Print(0)
ID 1195237117
T1 Epilepsy in Adolescents
T2 CURRENT Diagnosis & Treatment Pediatric Neurology
YR 2023
FD 2023
PB McGraw Hill Education
PP New York, NY
SN 9781260457520
LK neurology.mhmedical.com/content.aspx?aid=1195237117
RD 2024/04/19
AB The  incidence  of  newly  diagnosed  seizures  is  lower  in  adolescents  than  in  younger  children.  Although  focal  epilepsy  is  still  the  most  common  epilepsy  classification  in  adolescents,  the  etiologies  of  new-onset  seizures  are  slightly  different  than  earlier  in  childhood.  For  symptomatic  focal  seizures,  acquired  lesions  (eg,  head  trauma,  tumors,  mesial  temporal  sclerosis)  predominate  over  congenital  or  perinatal  causes.  Similarly,  the  epilepsy  syndromes  seen  in  this  age  group  are  different  than  earlier  in  childhood.  More  often,  generalized  epilepsy  syndromes  are  seen  and  benign  focal  epilepsies  resolve  by  this  time.  Because  of  the  increased  incidence  of  acquired  focal  epilepsies  (over  benign  focal  epilepsy  syndromes),  neuroimaging  is  recommended  for  adolescents  with  suspected  focal-onset  seizures  and  for  those  in  whom  the  onset  cannot  be  determined.