CLINICAL MANAGEMENT GUIDELINE

Absence seizure with impairment of consciousness only

ICD10: Generalized idiopathic epilepsy and epileptic syndromes [G40.3]

Treatment: Controlling episodes

Absence seizures are a specific type of seizure characterized by an abrupt cessation of activity and responsiveness with minimal to no movements.

Typical absence seizures are approximately 5 to 10 seconds in duration with minimal or no postictal confusion. Usually precipitated by hyperventilation and sometimes by photic stimulation.

EEG is the definitive test.


Success is a 2 years free of seizures episodes and within normal EEG reading.

Note: Ethosuximide dose is for age 3-6 y/o. Valproic acid dose is for age > 10 y/o. Lamotrigine does is for age 3-13 y/o.

If your patient is out of these ages range, refer to a specialist for proper dosing.

Treatments

Level 1 / 1
pharmacological
Ethosuximide
ROUTE
Oral
DOSE
5.000 mg
FREQUENCY
BID
educational
Parenting education

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