In pediatric neurology, what does the term "atonic" refer to?

In pediatric neurology, the term "atonic" specifically refers to a type of seizure that involves a sudden loss of muscle tone. This loss of muscle tone can result in the person dropping to the ground or the head falling forward. Atonic seizures are often referred to as "drop attacks" because they can lead to sudden falls, which can be dangerous, especially in children. These seizures typically last only a few seconds but can significantly impact a child's safety and daily functioning.

The distinction between atonic seizures and other types of seizures is crucial for accurate diagnosis and treatment. For instance, seizures that involve enhanced muscle tone, myoclonic jerks, or prolonged postictal confusion are indicative of different seizure classifications and would not be described as atonic. Understanding the specific characteristics of atonic seizures allows clinicians to provide appropriate management and educate families about what to expect.