Seizures

When the child has a history of seizures, get notes from the neurologist.  If the diagnosis is in question, consult the anesthesiologist. Three questions need to be addressed:

1.  What type of seizure?  Little effect on anesthesia care is anticipated, but grand mal  are likely to to be the most disruptive; they are, however, easily treated.  Consult the anesthesiologist if there is indication of an inborn metabolic error, or the presence of progressive systemic or neurological disease.

2.  What frequency and control?   Poor control (increasing severity or  frequency) needs to be assessed by the child’s neurologist.  If due to poor compliance or inadequate medication, and the seizures are grand mal, the case is delayed  until the issue is resolved.  If no changes are necessary, proceed.