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About the Authors

Jaxybayeva A.Kh. –  Head of the Department of Neurology NpJSC "Astana Medical University", NpJSC "Astana Medical University, Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it. .

Kimadiyev D.B. – Resident of NpJSC "Astana Medical University", NpJSC "Astana Medical University, Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it..

Serikkyzy B. – Resident of NpJSC "Astana Medical University", NpJSC "Astana Medical University, Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Takhanova M.T. – Assistant of the Department of neurology of NAO "Astana Medical University", Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Kazyken G.S. – Student of of NpJSC "Astana Medical University", NpJSC "Astana Medical University, Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it..

Abstract

In Kazakhstan, there are problems in the management of patients with paroxysmal conditions, including epilepsy. Despite the fact that there is no separate specialty "epileptologist" in the nomenclature of specialties, patients with suspected epilepsy or an already established diagnosis are referred for consultations to epileptologists. Usually these specialists are neurologists, including pediatric neurologists. However, there are situations when pediatric neurologists refuse to lead patients with epilepsy due to lack of knowledge or believe that another specialist should lead epilepsy, which indicates problems with the training of specialists and the organization of the service. This situation is absurd, because according to the international classification, epilepsy refers to diseases of the nervous system, and specialists with a certificate in neurology, including pediatric neurology, should be trained to manage this disease. A large number of paroxysmal conditions in children's practice aggravates the situation and leads to an increase in complaints from parents of children with various paroxysmal disorders, including epilepsy. The purpose of this publication is to study the current situation and discuss the optimal strategies and tactics of doctors working both in outpatient and inpatient settings to ensure the most effective care for children with paroxysmal conditions. This information review and recommendations for helping children with paroxysmal conditions, including epilepsy, allow us to analyze weaknesses in the organization of care and choose the optimal management system. The recommended algorithms optimize diagnostic and therapeutic approaches at different levels of medical care, as well as define educational goals for the training of pediatric neurologists at all levels.

Keywords

Epilepsy, diagnosis, algorithm.

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