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Master Thesis

Prise en charge d’une première crise convulsive non fébrile aux urgences pédiatriques

Abstract : The guidelines concerning the management of a first non-febrile seizure in children were published in France for the first time in 2008. Since many publications have emerged especially those of the International League against Epilepsy ( ILAE). In emergencies facing a patient who presents for suspicion of first seizure, it is necessary to check the epileptic nature of these abnormal movements. Then, the history and the clinical examination are essential to know the approach to follow. Indeed the complementary examinations including laboratory test, lumbar puncture, neuroimaging and electro-encephalogram (EEG) are not systematic. The return home with the establishment of a background treatment will depend on the risk of recurrence of seizure. The main objective of this work was to analyze the management of these children in the pediatric emergencies of the University Hospital of Caen. We conducted a cohort study, monocentric, retrospective and observational. All patients presenting to pediatric emergencies for first non-febrile seizure from 01/01/2017 to 31/09/2019 were included. Clinical and paraclinical data were collected in the mediacl records report and analyzed. Eighty patients were included. Forty-two presented generalized tonic-clonic seizures, 73 had fully recovered and 79 had a normal clinical examination upon arrival. They all benefited from complementary examinations in emergencies. Ninety percent of the children are hospitalized during the day. It seems that the guidelines concerning the management of the first non-febrile seizures are not practiced in our center. An algorithm will be proposed to make known and follow these guidelines.
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Master Thesis
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Submitted on : Wednesday, March 4, 2020 - 11:19:20 AM
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  • HAL Id : dumas-02498182, version 1


Gwendoline Poischis Mouna. Prise en charge d’une première crise convulsive non fébrile aux urgences pédiatriques. Médecine humaine et pathologie. 2019. ⟨dumas-02498182⟩



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