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. 2022 May 12;63(7):1761–1777. doi: 10.1111/epi.17274

TABLE 1.

Clinical presentation: in a developmentally normal child, who presents with seizures of unknown cause (normal magnetic resonance imaging, normal laboratory studies, ± normal cerebrospinal fluid studies), genetic testing to exclude DS should be performed with the following seizure types

Seizure Age 2–5 months Age 6–15 months
Without fever With fever After vaccination Without fever With fever After vaccination
Single seizure
Prolonged (5–29 min) GTCS 63% a 74% b 74% b 63% a 58% a 68% b
Prolonged (5–29 min) hemiclonic seizure 68% b 84% c 95% c 68% b 84% c 89% c
Focal or generalized convulsive status epilepticus (≥30 min) 74% b 84% c 89% c 74% b 84% c 89% c
Recurrent seizures
Recurrent brief (<5 min) convulsive seizures 63% a 58% a 58% a 58% a
Recurrent brief (<5 min) hemiclonic seizures 68% b 74% b 79% b 79% b
Recurrent prolonged focal or generalized convulsive seizures (5–29 min) 89% c 100% c 84% c 95% c
Recurrent focal or generalized convulsive status epilepticus (≥30 min) 89% c 95% c 89% c 95% c

Based on 19 physician responses.

Abbreviations: DS, Dravet syndrome; GTCS, generalized tonic–clonic seizure.

a

Responses indicate no consensus for genetic testing for DS.

b

Responses indicate Moderate consensus for genetic testing for DS.

c

Responses indicate Strong consensus for genetic testing for DS.