“Liip Smart Monitor will improve attendance time in epileptic children” (1/2)

Tuesday 18,
“Liip Smart Monitor will improve attendance time in epileptic children” (1/2)

Interview with Dr. Mª Ángeles Tormos Muñoz (Part 1)

Interview with neuropediatric about febrile crisis

In this post, and in the following one, we will publish our interview to Dr. Mª Ángeles Tormos Muñoz, neuropediatrician in Quirón de Valencia Hospital and primary attention pediatrician in Massamagrell’s health center. Mª Ángeles has helped us approach the pediatric neurology world through her experience in the treatment of children with neurological problems, as well as she has explained us how Liip Smart Monitor can help both pediatricians and parents with children that suffer this type of pathologies.

¿What is the pediatric neurology?

The neurology studies the operation of the neuronal networks that organize inside the brain as the center of the operations, as well as the peripheral neuronal networks that form the nerves. By understanding the basis of the neuronal connections we can get to know its functions. Neuropediatricians start to work when a function is no longer operational. We are the mechanics that set up the children’s nervous system so our patients recover their ability to move, to think, to integrate and can overcome each day.

¿Why did you specialize in this specific pediatric branch?

When I was just 5 years old I already knew I wanted to be a pediatrician, I wanted to take care of the sick children. A few years later, as I grew in medicine knowledge, I had more curiosity for the phenomenons that took place during the epileptical crisis and the neuroplasticity. My older brother is also a doctor, specialized in neurorehabilitation, and I guess the way he instilled his passion in this area also influenced me.

You have worked with children with neuropediatric problems for several years, which problem is the most frequent one?

The most frequent problems are epilepsy, cephalea, and the neurodevelopmental problems.

Frequent neuropediatric problems

The febrile convulsions are also a neuropediatric problem, why do they occur?

The febrile convulsions are a specific convulsion that can be associated to a febrile illness, in the absence of an infection of the Central Nervous System or an electrolyte imbalance, caused in one month babies or older children with no previous record in afebrile convulsions. The accepted boundaries in the appearance of febrile crisis is between the 6 months old babies and the 5 or 6 years old children, with the peak incidence in the 18 months.

The three basic pathophysiological factors that take part in the febrile convulsions are: the immaturity of the developing nervous system, the fever effect and the genetic susceptibility, that is the reason why the family history is so important.

The minimum rectal temperature that is need to produce the crisis varies from one child to another one and the most important factor of the febrile convulsion is the sudden temperature increase.

Most febrile convulsions are short, generalized, tonic-clonic and do not reappear in the next 24 hours. The crisis tend to follow the same pattern, the child suddenly loses consciousness, the muscular tone changes, most remain hypotonic and it is followed by trunk movements and members, and they become flaccid. Changes in the color around the mouth, increased salivation, and increased muscular jaw tone are also frequent, that is why it is not recommended to try and open the mouth. Also, during the crisis, the children stay with a blank look on their face.

Febrile convulsions do not last much time, generally less than 5 minutes. At the end, the child tends to sleep and approximately 15-30 minutes later the recovery is complete.

How should we react during a febrile crisis?

During a febrile convulsion, the child must lay on his side, in safety position, and far away from any object he can bump with. As we said recently, we must not try to force anything into his mouth. When the crisis situation eases, it is recommendable that a pediatrician evaluates the child, confirms the diagnosis and evaluates the origin of the fever. You should visit the nearest Health Central or Hospital.

In case of doubt on how you shall act, you must seek attendance. In Emergency, the pediatricians will ask you how the crisis began so they can evaluate if it is a febrile crisis. They will probably ask if there has been any traumatic precedent or if the child has had a fever, how long has the crisis lasted, the time the child has spent in recovery, as well as the personal and family history.

In the next post we will continue with the part 2 of the interview with Dr. Mª Ángeles Tormos, which we hope it is being useful and you are enjoying!

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