A Review of Hyperventilation Activation in Diagnosis and Management of Childhood Absence Epilepsy.

Rao, Chethan K; Kuperman, Rachel

Rao, Chethan K; Kuperman, Rachel.

Afiliación

Rao CK; Division of Pediatric Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.
Kuperman R; Division of Pediatric Epilepsy, Stanford University School of Medicine, Palo Alto, CA, USA.

J Child Neurol ; : 8830738241273347, 2024 Aug 23.

Article en En | MEDLINE | ID: mdl-39175400

ABSTRACT

ABSTRACT

Childhood absence epilepsy is one of the most prevalent pediatric epilepsy syndromes, but diagnostic delay is common and consequential. Childhood absence epilepsy is diagnosed by history and physical examination including hyperventilation with electroencephalography (EEG) used to confirm the diagnosis. Hyperventilation produces generalized spike-wave discharges on EEG in >90% of patients with childhood absence epilepsy and provokes clinical absence seizures consisting of brief loss of consciousness typically within 90âseconds. Child neurologists report a high volume of referrals for children with "staring spells" that strain already limited health care resources. Resources are further strained by the use of EEG for monitoring antiseizure medication effectiveness with unclear benefit. In this review, we examine the safety and efficacy of hyperventilation activation as a tool for the diagnosis and management of childhood absence seizures.

Palabras clave

absence seizures; childhood absence epilepsy; electroencephalogram; hyperventilation; staring spells

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Child Neurol Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

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