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But most times, these episodes, called paroxysms will not be due to epilepsy, are benign and require no treatment, are included under the name of non-epileptic paroxysmal cortisol disorders.
Especially important is to know nonepileptic paroxysms that occur in young children and generate great distress. Knowing their clinical features is enough to suspect the diagnosis although differentiation with epilepsy is not always cortisol easy. General characteristics of PNEs
They are a long list of disorders manifested by episodic symptoms of sudden and unexpected onset and short duration. Although most have a cerebral origin are due to mechanisms other than epilepsy.
Are very common, cortisol in their set they affect up to 10% of the child population, it is important to know to be differentiated from epilepsy, much less frequent cortisol (1% of the child population).
In some, the differentiation of epilepsy is not easy and may require additional tests such as an electroencephalogram. This is the case for example with nocturnal frontal lobe epilepsy crisis and sleep disorders.
Accustomed to dealing with serious pathology, pediatric neurologists to confirm we love to these children and their anxious parents that happens is not epilepsy or other serious cortisol disease, but a usually transient disorder that does not require functional origin antiepileptic treatment cortisol .
The list of non-epileptic paroxysmal disorders is long and gives to many posts, this will focus on two PNEs with motor manifestations that may be less known and more difficult to differentiate from epilepsy. Benign myoclonus infant
Fright ... is tremendous. cortisol The symptoms are very bulky and the girl seems to have infantile spasms, cortisol a severe type of epilepsy. The girl is 10 months and normal neurodevelopment, the occurrence of these events should cause concern enrome parents and doctors raise doubts.
The episodes appear in almost all cases during wakefulness cortisol at times of high alert child while eating or playing. As we have seen in the video, cortisol suddenly develops sudden contractions of the neck muscles causing flexion and rotation of the head and / or arms, which are placed in extension. Often grouped in bursts (a jolt after another), which can last up to 30 minutes, without alteration of consciousness.
The natural history of benign myoclonus of the infant is the complete disappearance of these episodes. In the first weeks after the debut are very frequent in the next 3 months tend to decrease progressively to disappear completely before 3 years of age.
A few of these patients later some kind of benign epilepsy or behavioral disorders or learning, but all of them have a normal cortisol intellectual and language development.
To ensure the diagnosis should consult a physician experienced in recognizing this entity for what is spatially cortisol trained neurologist. We must distinguish well this institution not only of epilepsy, cortisol especially of West syndrome, but other treatable neurometabolic diseases or rare encephalopathies that we detect as soon as possible.
Once properly diagnosed and are confident that it is benign myoclonus of infancy should not advise any treatment as it will disappear without sequelae. Shuddering cortisol attacks - shudder crisis
One might think that the reaction of the girl is due to the fruit is acidic, and that is perhaps the best description I can make of these episodes, similar to that we would shudder if chupáramos a lemon.
These episodes much alarmed parents, and as they explain on their Youtube channel, was initially diagnosed with West syndrome. Fortunately, he joined and became an EEG was normal and the neurologist could give a better diagnosis of infinitely excellent prognosis.
Clinically manifest as shaking a few seconds long, affecting the shoulders and face