home Auditorium 8 Microbial convulsive syndrome. G05* Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere. G08 Intracranial and intravertebral phlebitis and thrombophlebitis

Microbial convulsive syndrome. G05* Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere. G08 Intracranial and intravertebral phlebitis and thrombophlebitis

The occurrence of seizures in an adult or a child is a signal of serious pathological process in organism. When making a diagnosis, the doctor uses the ICD 10 seizure code for correct design medical documentation.

The International Classification of Diseases is used by doctors of various specialties around the world and contains all nosological units and premorbid conditions, which are divided into classes and have their own code.

Mechanism of seizure occurrence

Convulsive syndrome occurs against the background unfavorable factors internal and external environment, is especially common in idiopathic epilepsy (epileptic seizure). The development of convulsive syndrome can also be provoked by:

traumatic brain injuries;
congenital and acquired diseases of the central nervous system;
alcohol addiction;
benign and malignant tumors CNS;
high fever and intoxication.

Disturbances in the functioning of the brain are manifested by paroxysmal activity of neurons, due to which the patient experiences repeated attacks of clonic, tonic or clonic-tonic seizures. Partial seizures occur when neurons in one area are affected (they can be localized using electroencephalography). Such violations can occur for any of the above reasons. However, in some cases, when making a diagnosis, it is not possible to accurately identify the cause of this severe pathological condition.

Features in childhood

The most common manifestation of convulsive syndrome in children is febrile seizures. Newborns and children under 6 years of age are most at risk of developing an attack. If seizures recur in older children, then it is necessary to suspect epilepsy and consult a specialist. Febrile seizures can occur with any infectious or inflammatory disease, which is accompanied sharp increase body temperature.

IN international classification diseases of the tenth revision, this pathology is located coded R56.0.

If your baby has convulsive muscle twitching due to fever, then you need to:

call an ambulance;
lay the child on a flat surface and turn his head to the side;
after the seizure stops, give an antipyretic;
provide an influx fresh air in room.

You should not try to open oral cavity child during an attack, as you can injure both yourself and him.

Features of diagnosis and treatment

In ICD 10 convulsive syndrome is also coded R56.8 and includes all pathological conditions, which do not relate to epilepsy and seizures of other etiologies. Diagnosis of the disease includes a thorough history taking, an objective examination, and an electroencephalogram. However, the data from this instrumental research not always accurate, so the doctor must also focus on clinical picture and medical history.

Treatment should begin with the elimination of all possible factors predisposing to the disease. It is necessary to stop alcohol abuse, remove surgically CNS tumors (if possible). If it is impossible to accurately determine the cause of seizures, the doctor prescribes symptomatic therapy. Widely used anticonvulsants, sedatives, tranquilizers, nootropics. Early application for qualified medical care allows to significantly increase the effectiveness of treatment and improve the prognosis for the patient’s life.

Convulsive syndrome - unpleasant symptom, which can lead to irreversible consequences if assistance is not provided in a timely manner. According to the International Classification of Diseases, this condition may be coded R 56.0 or R 56.8. It's about about non-epileptic and epileptic seizures. If this is the first time you have encountered such a symptom, accurate diagnosis will be determined by the doctor after a thorough examination.

Convulsions at high temperatures

With fever in adults, convulsive syndrome is quite rare, but still manifests itself (ICD R 56.0). Hyperthermia can be the result of a dangerous viral, bacterial or fungal infection. Convulsive syndrome in adults, as a rule, develops due to an encounter with a new dangerous microorganism that has not previously been encountered. So, with ordinary flu, the likelihood of such symptoms occurring is minimized. Often, when infected in a foreign country, a convulsive syndrome develops (ICD R 56.0).

Unpleasant symptoms against the background of an increase in body temperature, it manifests itself due to overheating of all body systems, including the brain. The risk of developing seizures increases when the readings on the thermometer reach 39.5 °C. Experts recommend preventing this and taking an antipyretic drug until emergency help arrives.

It is necessary to call a doctor if in the background high temperature a person has marbling skin, apathy, dizziness. The risk of developing convulsive syndrome during fever in allergy sufferers increases significantly.

Epileptic convulsions

Pathological symptoms may develop due to congenital or acquired defects of the nervous system. In an adult, the development of epileptic convulsive syndrome (ICD R 56.8) can be provoked by:

head injuries;
alcohol intoxication;
strokes;
benign and malignant neoplasms brain.

In 40% of cases, the exact causes of seizures cannot be determined. With age, the risk of developing dangerous symptoms increases. The risk group includes people suffering from alcohol and drug addiction.

It is quite rare for healthy young people to develop seizures. The reasons most often lie in epilepsy, which previously did not manifest itself in any way. This is a brain disease that affects more than 40 million people worldwide. A third of people who experience it develop their first attack before adulthood. However, in many patients the pathological process may manifest itself much later.

Causes of epilepsy

Convulsive syndrome (ICD R 56.8 or R 56.0) is the result of synchronous excitation of all cells of a separate area of the cerebral cortex (epileptic focus). The disease is quite often inherited. Therefore, if relatives had to deal with such a pathology, the child must be examined at an early age.

Epilepsy can also be acquired. In some patients, convulsive syndrome begins to appear after serious injuries, transferred infectious diseases brain (meningitis, encephalitis), poisoning. Every tenth alcoholic or drug addict suffers from epileptic seizures.

In epilepsy, seizures can manifest themselves in different ways. Sometimes there is only a short-term loss of communication with the outside world. People around may think that the patient thought for a second. The syndrome progresses very quickly. But in many cases, convulsive attacks are accompanied by twitching of all muscles and rolling of the eyes. In this case, it is important to provide the patient the right help.

for convulsive syndrome

A seizure in itself cannot lead to the death of the patient, no matter how scary they look clinical manifestations pathological process. Incorrect actions of people nearby can provoke the development of complications. Under no circumstances should convulsive movements be forcibly restrained. In execution artificial respiration and cardiac massage is also not necessary.

If it started epileptic seizure, the patient must be laid on a flat, hard surface; a cushion of clothing or a small pillow can be placed under the head. To prevent the tongue from sinking, the patient's head should be turned to the side. After the end of the convulsions, the patient should be allowed to recover normally and get enough sleep. Typically, seizures in epilepsy last no more than 30 seconds. When the seizure is over, you should call an ambulance.

Diagnosis of the disease

If an epileptic seizure occurs for the first time, the patient will be sent to full examination to the neurological department. Encephalography will allow you to make an accurate diagnosis. Tests such as CT or MRI may be performed to determine the epileptic focus.

Treatment of epilepsy

If urgent Care in case of convulsive syndrome was provided correctly, and the patient immediately sought qualified medical help, the likelihood of developing dangerous complications is reduced to a minimum. Modern medicines allow a 70% reduction in the number of seizures in patients with chronic epilepsy.

Convulsive syndrome is not a reason for serious restrictions. Clinical guidelines relate only to some adjustments in the patient’s lifestyle. The patient will have to give up emotional and strong physical stress. However, it is quite possible to conduct normal life, attend work or educational institution. Such patients are not prohibited from driving.

FEBRILE SEIZURES honey.
Febrile seizures occur in children under 3 years of age when body temperature rises above 38 °C in the presence of a genetic predisposition (121210, R). Frequency - 2-5% of children. The predominant gender is male.

Options

Simple febrile convulsions (85% of cases) - one attack of convulsions (usually generalized) during the day lasting from several seconds, but not more than 15 minutes
Complex (15%) - several episodes during the day (usually local convulsions), lasting more than 15 minutes.

Clinical picture

Fever
Tonic-clonic seizures
Vomit
General excitement.

Laboratory research

First episode: determination of serum calcium, glucose, magnesium, other electrolytes, urinalysis, blood culture, residual nitrogen, creatinine
IN severe cases- toxicological analysis
Lumbar puncture - if meningitis is suspected or the first episode of seizures in a child over 1 year old.
Special studies. EEG and CT scan of the brain 2-4 weeks after the attack (performed for repeated attacks, neurological diseases, family history of afebrile seizures or first onset after 3 years).

Differential diagnosis

Febrile delirium
Afebrile seizures
Meningitis
Head injury
Epilepsy in women combined with mental retardation (*300088, K): febrile seizures may be the first sign of the disease
Sudden termination receipt of anticonvulsants
Intracranial hemorrhages
Coronary sinus thrombosis
Asphyxia
Hypoglycemia
Acute glomerulonephritis.

Treatment:

Lead tactics

Physical methods cooling
Patient position: lateral decubitus to ensure adequate oxygenation
Oxygen therapy
If necessary, intubation.

Drug therapy

The drugs of choice are acetaminophen (paracetamol) 10-15 mg/kg rectally or orally, ibuprofen 10 mg/kg for fever.
Alternative drugs
Phenobarbital 10-15 mg/kg IV slowly (possible respiratory depression and arterial hypotension)
Phenytoin (diphenin) 10-15 mg/kg IV (cardiac arrhythmia and arterial hypotension are possible).

Prevention

Acetaminophen (paracetamol) 10 mg/kg (orally or rectally) or ibuprofen 10 mg/kg orally (at body temperature above 38 °C - rectally)
Diazepam -5 mg up to 3 years of age, 7.5 mg from 3 to 6 years of age or 0.5 mg/kg (up to 15 mg) rectally every 12 hours up to 4 doses - at body temperature above 38.5 ° C
Phenobarbital 3-5 mg/kg/day - for long-term prophylaxis in children at risk with a burdened medical history, multiple repeated attacks, and neurological diseases.

Course and prognosis

A febrile attack does not lead to delay
physical and mental development or to death. Risk of recurrence
attack - 33%.

ICD

R56.0 Convulsions during fever

MIM

121210 Febrile seizures

Directory of diseases. 2012 .

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