{"id":8061,"date":"2026-06-13T09:01:59","date_gmt":"2026-06-13T09:01:59","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=8061"},"modified":"2026-09-06T11:32:03","modified_gmt":"2026-09-06T11:32:03","slug":"criterios-de-remision-en-trastornos-paroxisticos","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/criterios-de-remision-en-trastornos-paroxisticos\/","title":{"rendered":"Referral criteria for paroxysmal disorders."},"content":{"rendered":"<h2>1. Criterios de Remisi\u00f3n<\/h2>\n<p>This concept includes all episodes of transient and reversible neurological dysfunction suspicious or compatible with an epileptic seizure, or that require differential diagnosis with these (PNET).<\/p>\n<ul>\n<li><strong>Referral to Emergency Room:<\/strong><\/li>\n<ul>\n<li>First episode of generalized tonic-clonic seizure or partial seizure, febrile or afebrile, or episode of prolonged disconnection from the environment (greater than 15 minutes) (whether an epileptic origin is suspected, metabolic encephalopathy, intoxication, migraine, etc.).<\/li>\n<li>Any episode of acute transient life-threatening neurological dysfunction.<\/li>\n<\/ul>\n<li><strong>\u201cHigh Resolution\u201d Submission:<\/strong><\/li>\n<ul>\n<li>Children under 24 months of age with high-frequency recurrent episodes (multiple daily) suggestive of epileptic seizures, but of short duration and not life-threatening, and that do not a priori require urgent care or hospital admission.<\/li>\n<\/ul>\n<li><strong>Preferential Referral:<\/strong><\/li>\n<ul>\n<li>Over 24 months with high-frequency recurrent episodes (multiple daily) suggestive of epileptic seizures, including episodes of disconnection from the environment (absences or complex partial seizures) without accompanying neurological focus, and who have not required referral to the emergency room or hospital admission because they are not life-threatening (for example, brief nocturnal epileptic seizures).<\/li>\n<\/ul>\n<li><strong>Ordinary Referral:<\/strong><\/li>\n<ul>\n<li>Hospital discharge after the first epileptic seizure.<\/li>\n<li>Hospital discharge after epileptic decompensation in a patient with known epilepsy.<\/li>\n<li>Over 24 months with isolated episodes of transient or recurrent low-frequency (monthly) neurological dysfunction (monthly), not life-threatening, including episodes of disconnection from the environment (syncope, repetitive movements without affecting the level of consciousness or controllable with mental effort, etc.).<\/li>\n<\/ul>\n<\/ul>\n<h2>2. Datos M\u00ednimos de la Interconsulta<\/h2>\n<ul>\n<li>Family history of epilepsy, neurodevelopmental disorders, consanguinity.<\/li>\n<li>Family structure, socioeconomic situation and coexistence dynamics.<\/li>\n<li>Development history.<\/li>\n<li>Previous history of non-epileptic paroxysmal disorders or febrile seizures.<\/li>\n<li>School history (current school support, repetition, changes of center and reasons why it has been necessary).<\/li>\n<li>Episode start date, frequency and duration. It is important to instruct patients to make a calendar so that they can record the episodes, the context in which they occur, and the triggers.<\/li>\n<li>Semiology of the episodes. If possible, instruct family members to video-record these episodes to contribute to the consultation.<\/li>\n<li>Neurological examination.<\/li>\n<li>Analysis with iron metabolism (not necessary if you have one in the last year).<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>1. Criterios de Remisi\u00f3n Entran dentro de este concepto todos los episodios de disfunci\u00f3n neurol\u00f3gica transitoria y reversible sospechosos o compatibles con una crisis epil\u00e9ptica, o que requieren diagn\u00f3stico diferencial con estas (TPNE). Remisi\u00f3n a Urgencias: Primer episodio de crisis tonicocl\u00f3nica generalizada o crisis parcial, febril o afebril, o episodio de desconexi\u00f3n del medio prolongado &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/en\/criterios-de-remision-en-trastornos-paroxisticos\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \u00abCriterios de remisi\u00f3n en trastornos parox\u00edsticos.\u00bb<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":8086,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8061","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/8061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=8061"}],"version-history":[{"count":3,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/8061\/revisions"}],"predecessor-version":[{"id":8662,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/8061\/revisions\/8662"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/8086"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=8061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=8061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=8061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}