Epilepsy and febrile seizures (children)

Current Care Summary
A working group appointed by the Finnish Medical Society Duodecim and the Finnish Association of Paediatric Neurology

Current Care Guideline «Epilepsiat ja kuumekouristukset (lapset ja nuoret)»1 and Summary «Epilepsiat ja kuumekouristukset (lapset)»2 in Finnish

Suspicion of epilepsy is an indication for an urgent referral to a pediatric or child neurology care unit. Diagnosis of epilepsy is based on medical history and clinical examination, supplemented with EEG, brain imaging and laboratory tests. Antiepileptic medication is usually initiated after the second epileptic seizure. Drug choice is based on seizure type and epilepsy classification. Some children with epilepsy may benefit from ketogenic diet. Surgical treatment options should be considered in children with drug-resistant epilepsy. Acute treatment for febrile seizures follows the same principles as treatment of epileptic seizures, but long-term preventive anticonvulsants are not recommended.

Kai Eriksson (Chair)

Eija Gaily

Tanja Laukkala

Elina Liukkonen

Heikki Rantala

Päivi Vieira