Childhood absence epilepsy (CAE)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Childhood absence epilepsy (CAE). This is possibly a channelopathy. Fully referenced neurology checklist.

Epidemiology

  • This is possibly a channelopathy
  • The onset age is before 10 years: it is usually between 3-8 years
  • The onset is < 4 years in subjects with glucose transporter type 1 deficiency
  • Females are at a higher risk
  • There is a positive family history in 16-45% of cases
  • There is a history of febrile seizures in about 30% (FS+)

Clinical features of absences

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Electroencephalography (EEG)

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Treatment

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Contraindicated medications

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References

  1. Alves-Leon SV, Cardoso MF, Pereira VC, Meira ID. Clinical and electroencephalographic characteristics of a cohort of patients with epilepsy and absence seizures. Arq Neuropsiquiatr 2009; 67:986-994.
  2. Panayiotopoulos CP. Typical absence seizures and their treatment. Arch Dis Child 1999; 81:351-355.
  3. Crunelli V, Leresche N. Childhood absence epilepsy: genes, channels, neurons and networks. Nat Rev Neurosci 2002; 3:371-382.
  4. Tenney JR, Glauser TA. The current state of absence epilepsy: can we have your attention? Epilepsy Curr 2013; 13:135-140.

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