Daniela Fontes Bezerra
FMABC, Brazil
Title: Status epilepticus in pediatric population (neonatal and children)
Biography
Biography: Daniela Fontes Bezerra
Abstract
Statement of the Problem: The status epileptics in neonatal and children have many specifics characteristic and specificities that involve the neurobiological maturation in all the specifics ages for example how to identify seizures in neonatal and the management the seizures in this age and this situation is different in the older child . The neurobiological states for the brain is the key to be precise and control this situation and the time to begin all the procedments is the best way to previse the refractory status epileptic. In neonatal 1-5/1000 newborn has seizures and 43% became status epileptic. In children 60% of the cases with status epileptic do not have neurologic disease before this situation. Understand the development of the brain is the best way to choose the anti-epileptics drugs and try to identify the etiology is the other important way to avoid the mortality.
Methodology & Theoretical Orientation: The Brazilian Child Neurology society gave me this topic to discuss with the pediatrics, neonatologist and with the neuropediatrics in one symposium in November 2017, and i Did a review with the recents papers and brougth from ours services, hospitals ours experiences and the reality.
Findings: In Neonatal population the phenobarbital is the first choice but the doses must have to with a protocol to have the best response because when you add a phenytoin the response became in 50% only and the etiology is the very important thing to be focus because the risk of status epileptic subclinical is very high. In the old children the Time to begin the treatments is the most important focus.
Conclusion & Significance: The neonatal status epilepticus and the child Status epilepticus are the situation with mortality and morbidity, when they are not recognize and the time to start the treatment is not able to be effect this complications are very important for the patients, families and to the healthy care. Recommendations are made for treatment centers to become informed that would help this recognition and the conduction.