NON-EPILEPTIC PAROXYSTIC DISORDERS AS DIFFERENTIAL DIAGNOSIS OF SEIZURES IN PEDIATRICS - LITERATURE REVIEW

• DOI: 10.22533/at.ed.1593572302083

• Palavras-chave: Differential diagnosis; Convulsions; Pediatrics.

• Keywords: Differential diagnosis; Convulsions; Pediatrics.

• Abstract:

  Introduction: Seizures are common events in childhood, affecting up to 10% of children. 1. Non-epileptic paroxysmal disorders are conditions that begin abruptly, with a stereotyped course and spontaneous termination, often leading to altered consciousness and clonic/tonic motor manifestations that mimic seizures. 3. Goal: Such conditions need to be known by the pediatrician and neuropediatrician, as their treatment is absolutely different from epilepsy and, therefore, this article aims to describe them. Method: The search was carried out in the PubMed, BVS and Scielo databases, and was limited to articles between the period 2019 to 2023 that met the criteria of being literature reviews and case reports. Result: It is essential to be able to understand the difference between paroxysmal non-epileptic disorders (NPPE) and epileptic seizures for an adequate treatment for children3. For neonates, we have as DPNE concussions and benign sleep myoclonus. For infants, shortness of breath, shivering, paroxysmal torticollis, spasmus nutans and jactatio capitis. Finally, in preschoolers and schoolchildren, we have vasovasagal syncope, syncope associated with cough, and long QT syndrome.