Abstract：
Previously known as Munchausen syndrome by proxy, medical child abuse is a form of child maltreatment whereby the caregiver creates an environment in which medical care harms or threatens the wellbeing of a child. Approximately 40-50 % of medical child abuse cases involve neurological symptoms, with fabricated or induced seizures accounting for a significant proportion. Identifying fictitious seizures is often difficult even for the most experienced clinicians. Therefore, having a low threshold for clinical suspicion is essential in the timely diagnosis of medical child abuse. This article provides a review of the epidemiology, diagnosis, and management of medical child abuse when it involves seizures.
摘要：
以前被代理人称为Munchausen综合征，医疗虐待儿童是一种虐待儿童的形式，照顾者创造了一种环境，在这种环境中，医疗损害或威胁儿童的福祉。大约40-50%的医疗虐待儿童病例涉及神经系统症状，捏造或诱导的癫痫发作占很大比例。即使对于最有经验的临床医生来说，识别虚构的癫痫发作通常也很困难。因此,临床怀疑的门槛较低，对于及时诊断医疗虐待儿童至关重要。本文对流行病学进行了综述，诊断,以及涉及癫痫发作时医疗虐待儿童的管理。
