Convulsii Febrile

Convulsiile febrile Dr. Koncsag Sz. Elod Medic rezident pediatru

Introducere 1,3,6 ,[object Object],[object Object],[object Object]

Scurt istoric 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Defini tie 1,2,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICARE: crize ocazionale prin modificari extracerebrale 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiologie 2,5,6,7 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Etiopatogenie 2,3

Etiopatogenie: ereditatea 3,4,7 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiopatogenie: febra 2,3,4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiopatogenie: varsta 3,4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiopatogenie 4 ,[object Object],[object Object]

Convulsii febrile simple/complexe 2(modificat) Caracteristici CF simple (95%) CF complexe (5%) Descriere Crize tonice, clonice sau tonico-clonice generalizate, uneori atone Crize focale motorii Durata Sub 5 minute Peste 15 minute Repetitia O criza / 24 ore Mai multe crize / 24 ore Stare de sanatate anterioara Normala Anomalii neurologice bine definite sau supecte Istoric familial Negativ pt. epilepsie  pozitiv pentru CF Pozitiv pentru epilepsie idiopatica sau genetica EEG De obicei normala dupa 7-10 zile de la CF Anomalii iritative clare focale sau generalizate Risc epilepsie In jur de 5 ‰ (=populatia generala) In jur de 10% Deficit postcritic Fara Prezent Varsta In general intre 6-36 luni Frecvent sub 1 an

Diagnosticul pozitiv 2,4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],LCR poate fi normal la debutul unei meningite bacteriene!

Diagnosticul pozitiv 2,4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnosticul pozitiv 2,4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic diferential 3,4,8 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratament: criza acuta 2,3,4,6,7,8 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratament: profilaxie intermitenta ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tratament: profilaxie continua 2,3,4,6,7

Pronostic, risc de recurenta 4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pronostic: riscul sechelelor 4,6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prognostic: risc pentru epilepsie 2,4,5 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Daca apar ulterior crize epileptice secundare, de obicei (75%) debuteaza in urmatoarele 3 ani!

Bibliografie ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Convulsii Febrile

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