Monday-Sunday 08:30 - 20:00
Kyiv, 17 Kovpaka St. (On the map)
Bila Tserkva, 191A Tarashchanska St. (On the map)
Epileptic seizures in children, convulsions with fever or intoxication require the attention of qualified specialists. At CSM, parents can receive a full consultation, where specialists will explain modern treatment methods and select an individual approach for each patient.
Does your child have epileptic seizures? Do you need a consultation with an experienced doctor but don't know where to turn? Pediatric epileptology is an area that is actively developing at CSM in Kyiv. Today patients from any city can get an online consultation with our pediatric epileptologist. CSM is a full-cycle clinic, so resolving a medical problem here always begins with diagnostics and ends with treatment and rehabilitation.
Epileptology is part of the neurological field. It studies the causes and symptoms as well as the methods of detection, therapy, and prevention of epilepsy. The course of epilepsy in children can take various special forms, so medications are selected strictly individually and often differ from the treatment plan recommended for adult patients. Pediatric epileptology is therefore a narrower branch of epileptology that specializes in diagnostics and therapy in children and adolescents.
Epileptology is not singled out as a separate branch of neurology by chance, since the examination, therapy, and management of patients with this diagnosis require deeper knowledge of paroxysmal disorders, the principles of prescribing electrophysiological (EEG, MEG, etc.) and neuroimaging (CT, MRI, etc.) examinations, and approaches to selecting antiepileptic drugs. Pediatric epileptology is even more targeted and takes into account the nature of the course of the disease in children.
A pediatric epileptologist is familiar with the age-specific features of paroxysmal disorders in children and adolescents, with examination methods, and with the principles of prescribing medications and monitoring patients in this group. Contacting one is necessary in case of any suspicion of epilepsy or conditions with similar manifestations in a child.
Epilepsy is a disease with variable symptoms. Seizures may be accompanied by an aura (warning signs) or occur without one, and may present as major or minor epileptic seizures or absences.
Therefore, an epileptologist appointment is quite often needed in order to establish the correct diagnosis.
Seizures usually develop after exposure to certain factors. Triggers are individual, but the most common are:
A pediatric epileptologist consultation is necessary if your child shows the following signs of epilepsy:
A convulsive seizure can occur both while awake and during sleep. Children with this diagnosis often show sleepwalking, personality changes, excessive irritability, and sharp mood swings.
Symptoms of epilepsy in children under 1 year:
In childhood, the signs of the disease are often confused with other pathologies or individual behavioral features. Therefore, seeing an epileptologist is necessary for an accurate diagnosis.
The first seizure is always a serious reason to get an epileptologist consultation and a thorough examination of the child. After talking with the parents, the epileptologist prescribes the following diagnostic methods to clarify the diagnosis:
If necessary, the patient is referred for consultations with a pediatric neurologist, a psychiatrist, an endocrinologist, and other specialists.
If left untreated, the disease can cause severe functional impairments of speech and memory and lead to delayed physical and mental development. Therefore, the earlier treatment of epilepsy in children is started, the better the prognosis. After individual selection of drug therapy, epileptic seizures may become less frequent and milder.
As the child grows up, brain processes stabilize and the child's condition may improve. According to specialists' observations, in 70-80% of children epilepsy responds well to treatment, and in some forms of the disease seizures stop spontaneously at the age of 13-15. In most cases, intelligence in patients with this diagnosis remains normal, and mental development is not impaired.
Anticonvulsants are prescribed to prevent seizures. The selection of medications is strictly individual. Usually this is monotherapy, but sometimes it is supplemented with other drugs. Antiepileptic drugs must be taken continuously, even if there are no seizures. If there have been no seizures for several weeks, the epileptologist may recommend reducing the dose. The doctor discontinues anticonvulsants completely only when there is no risk of seizures recurring.
At CSM, in addition to antiepileptic drugs, various physiotherapy methods are used to treat epilepsy: oxygen therapy, massage, therapeutic exercise, and others. Whether they are appropriate is determined based on the child's condition and only after contraindications are ruled out.
In some cases, implantation of a vagus nerve stimulation device may be recommended for treatment. This device helps reduce the activity of certain areas of the brain and prevent impulses that provoke convulsions. The method does not remove the need for antiepileptic therapy, but it may allow a lower dose of anticonvulsants or a stronger effect from them. Vagus nerve stimulation has a number of drawbacks in the form of side effects such as cough, hoarseness, and sore throat. However, stimulation may improve the child's mood and psycho-emotional state.
Surgical methods of treating epilepsy in children are used rarely. They are recommended for organic brain lesions resulting from a hematoma, stroke, or tumor. Surgical treatment is also used when drug therapy or vagus nerve stimulation is ineffective.
To prevent epileptic seizures and their consequences, the child's parents are given recommendations on preventing injuries from falls, providing first aid during seizures, creating favorable psycho-emotional conditions, and avoiding provoking factors. Overly "greenhouse" conditions are not required, but following the balanced recommendations of the pediatric epileptologist allows children to socialize actively with peers, study, play sports, and so on.
Need to book an appointment with an epileptologist? Contact CSM by calling the number listed on the website or by filling out the online booking or callback form. Contact center operators will respond to your request quickly, and you will be able to speak with the doctor at a convenient time.
Ирина Сергеевна 10.10.2021
Детская эпилептология
Стеценко Татьяна Ивановна, вы лучший врач по эпилепсии! Спасибо вам за помощь дочке. Когда нам поставили этот диагноз это был гром среди ясного неба. Не знали куда и бежать в поисках лучшего врача. Родственница посоветовала ЦСМ на проспекте Василия Порика дом 13 Б. Мы ни разу не пожалели что обратились туда! Татьяна Ивановна провела диагностику и назначила прием препаратов. Приступы отступили. Через два года нам уменьшили количество препаратов. Теперь дочку не пугают приступы, и она может заниматься в художественной школе. Очень надеемся, что болезнь отступит. Ведь так бывает у детей с эпилепсией. Нам очень нравится клиника и наш любимый эпилептолог. Лучшего и искать не будем, хотя сейчас ее консультации только онлайн доступны. В самой клинике всегда чисто, персонал приветливый и внимательный. С дочкой здесь занимается опытный психолог и это тоже дает положительные результаты. Спасибо руководству, врачам и всему персоналу! Профессионалов своего дела сейчас так мало, а вы реально заботитесь о детях с такими непростыми диагнозами. Вы лучшие!
Георгий 23.08.2021
Детская эпилептология
обратился в ЦСМ с сыном после судорожного приступа. стеценко татьяна ивановна хороший врач. провела онлайн-консультацию, очень детально распрашивала об обычном поведении малого, обстановке в доме, событиях до приступа и т.д. потом посоветовала, что делать и какие анализы сдать. отклонений по физиологии никаких не выявили, пока будем наблюдаться дальше. спасибо татьяне ивановне! лучше платить опытному врачу, чем сомневаться в профессионализме специалиста из обычной поликлиники, в которой всегда очереди, вечно всем некогда и даже обычная процедура превращается в долгое ожидание и стресс, особенно для ребенка.
Влада 11.07.2021
Детская эпилептология
У нас нет родителей и здоровьем младшей сестры занимаюсь я. Ей поставили диагноз эпилепсия. Педиатр сказала, что с этим стоит пойти в клинику ЦСМ на пр-те Василия Порика 13б, в которой принимает опытный детский эпилептолог Стеценко Татьяна Ивановна. Мы смогли быстро связаться с ней в онлайн формате, что было очень удобно на тот момент. Потом пошли на анализы по назначенному списку уже в сам ЦСМ. Потом врач назначила нам прием лекарств. Теперь приступов почти нет, и мы надеемся, что скоро они совсем исчезнут. Татьяна Ивановна, спасибо вам за все! Вы умеете лечить и поддерживать в сложную минуту. Я всегда буду помнить ваше участие и буду рекомендовать всем. Вы - врач от Бога!
