Consultant Epileptologist and Pediatric Neurologist | Division Chief of Neurology @ Lake children’s Hospital Lifelong Learning | Truth Seeker |Tweets are my own
1/ Child Neurology Society 2026 wrapped last week in Montreal.
Three pediatric epilepsy updates worth your attention, from a gene-targeted therapy trial to a big gap in rescue medication access 🧵
Sources:
ACR Appropriateness Criteria, Seizures-Child: https://t.co/ufamV7AWps
ILAE 2022 childhood syndromes: https://t.co/5MhPWRKzUr
My clinic story on SeLECTS: https://t.co/XarhX0JfiG
@EmergencyDocs@ChildNeuroSoc@ImageGently#PedsEM
General info, not medical advice.
1 in 15 kids with epilepsy has a syndrome you can spot from the story alone.
8yo wakes at 5 a.m. drooling, half his face twitching. Can't talk, but aware. 2 min later, normal exam.
Your next step? Vote, then see the answer 🧵
Why skip CT when it's typical? ACR: Rolandic seizures usually need no imaging, and head CT for a child's focal seizure is "usually not appropriate." It adds radiation, not answers.
Clinical diagnosis, EEG confirms, most outgrow it by puberty.
Follow for more peds neuro pearls.
1/ Picture a 15-year-old (a composite, not a real patient). Focal seizures since age 9. Three seizure medicines tried at good doses, and she still has seizures most weeks. No driving lessons. Missed school after clusters.
What comes next? A thread on VNS. 🧵