⚡ Pediatric Neurology · Apollomedics Lucknow

Pediatric Epilepsy & Childhood Seizures

Expert diagnosis and management in Lucknow, Uttar Pradesh

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मिर्गी (Epilepsy) — बच्चों में दौरे

अगर आपके बच्चे को बार-बार दौरे पड़ते हैं तो घबराएं नहीं। मिर्गी एक उपचार योग्य बीमारी है। सही दवा और EEG जांच से अधिकतर बच्चे पूरी तरह ठीक हो जाते हैं।

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Overview

What is Pediatric Epilepsy & Childhood Seizures?

Epilepsy is a neurological condition characterised by recurrent, unprovoked seizures caused by abnormal electrical activity in the brain. It affects approximately 1 in 100 children. Childhood epilepsy encompasses many different syndromes — some are age-limited and self-resolving; others require long-term management. Early, accurate diagnosis is essential to identify the epilepsy syndrome, select the correct medication, and avoid unnecessary treatment.

Signs & Symptoms

Signs Parents Should Know

Repeated seizures or 'fits'
Episodes of shaking, jerking, stiffening, staring, or loss of consciousness — occurring more than once without an identifiable cause such as fever.
Absence spells
Brief episodes where the child appears to 'blank out', stop mid-sentence, or stare vacantly — easily missed, often mistaken for daydreaming.
Febrile seizures
Seizures triggered by high fever in children aged 6 months–5 years. Most are benign, but evaluation by a paediatric neurologist is recommended after a first episode.
Drop attacks
Sudden falls due to brief loss of muscle tone — a red flag for certain epilepsy syndromes requiring urgent investigation.
Nocturnal events
Seizures occurring during sleep, sometimes presenting as unusual movements, tongue-biting, or bed-wetting.
Post-ictal confusion
Prolonged confusion, drowsiness or weakness after an episode — an important indicator of seizure activity.
When to Seek Help

When to See Dr. Nishant Gopaal

→First seizure in a child of any age
→Seizures lasting more than 5 minutes (status epilepticus — call emergency services immediately)
→Child has had more than one seizure
→Seizures not controlled on current medication
→Developmental regression alongside seizures
→New onset of staring spells or absence episodes
⚠️ Emergency: If your child has a seizure lasting more than 5 minutes, sudden paralysis, or sudden loss of consciousness — call emergency services immediately or go to the nearest A&E.
At Apollomedics Lucknow

How We Diagnose

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EEG (Electroencephalography)
The primary diagnostic test for epilepsy. Records the brain's electrical activity to identify seizure type and epilepsy syndrome. Dr. Gopaal performs and personally reports EEGs at Apollomedics Lucknow.
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Video-EEG Telemetry
Extended EEG recording with simultaneous video — the gold standard for difficult-to-diagnose or refractory epilepsy. Allows precise localisation of seizure onset.
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MRI Brain (Epilepsy Protocol)
Advanced MRI sequences to identify structural causes including cortical dysplasia, tumours, hippocampal sclerosis and other lesions often missed on standard imaging.
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Blood & Metabolic Tests
To identify metabolic epilepsies, mitochondrial disorders, genetic causes and treatable conditions including pyridoxine-dependent epilepsy.
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Genetic Testing
Panel-based or exome sequencing for suspected genetic epilepsy syndromes (Dravet, Doose, KCNQ2, etc.).
Management

Treatment Approach

Treatment is tailored to the specific epilepsy syndrome, child's age, comorbidities, and seizure type. Anti-seizure medications (ASMs) are the mainstay of treatment — the correct choice depends on syndrome diagnosis, which requires expert EEG interpretation. For drug-resistant epilepsy (failure of two appropriate ASMs), further evaluation for surgical eligibility, dietary therapy (ketogenic diet), or neuromodulation is considered. Dr. Gopaal has specialist training in refractory epilepsy management from IGICH Bangalore and BPNA UK.

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Common Questions

Frequently Asked Questions

Will my child outgrow epilepsy?

Many childhood epilepsy syndromes — including childhood absence epilepsy and benign epilepsy with centrotemporal spikes (BECTS) — are age-limited and resolve by adolescence. Others require lifelong treatment. The likelihood of remission depends heavily on the specific epilepsy syndrome, which is why accurate diagnosis matters.

Is one seizure enough to diagnose epilepsy?

Not necessarily. Epilepsy is typically defined as two or more unprovoked seizures more than 24 hours apart, or one seizure with a high risk of recurrence (e.g. an abnormal EEG or MRI). A first seizure still warrants urgent paediatric neurology evaluation.

Are anti-epileptic drugs safe for children?

Modern anti-seizure medications are generally safe and well-tolerated when correctly prescribed and monitored. The risks of uncontrolled seizures — including injury, status epilepticus, and developmental impact — typically outweigh medication side effects for children with true epilepsy.

What should I do during a seizure?

Stay calm. Place the child on their side (recovery position), clear the area, do not restrain, do not put anything in the mouth. Time the seizure. Call emergency services if it lasts more than 5 minutes or if the child does not regain consciousness.

Can my child attend school with epilepsy?

Yes — most children with epilepsy attend mainstream school. A seizure management plan shared with the school, and appropriate first-aid training for teachers, ensures safety. Dr. Gopaal provides school letters and management plans for all epilepsy patients.

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Medically authored & reviewed by Dr. Nishant Gopaal Consultant Pediatric Neurologist & Head of Child Development Centre · Apollomedics Super Speciality Hospital, Lucknow
MD Pediatrics · Post-Doctoral Fellowship in Pediatric Neurology (FIPN) · Pediatric Epilepsy Training (BPNA, UK) · ORCID: 0000-0002-8408-535X
Last reviewed: 2026-09-27 · Based on international guidelines (ILAE, AAP, AAN, NICE, WHO)
References:
  1. Fisher RS et al. ILAE Official Report: A practical clinical definition of epilepsy. Epilepsia. 2014.
  2. American Academy of Pediatrics. Evaluating a First Nonfebrile Seizure in Children. Pediatrics. 2000.
  3. NICE Guideline NG217: Epilepsies: diagnosis and management. 2022.
  4. Indian Epilepsy Society Guidelines for the Management of Epilepsy in India. 2019.
  5. Scheffer IE et al. ILAE classification of the epilepsies. Epilepsia. 2017.
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