Академический Документы
Профессиональный Документы
Культура Документы
Introduction
Seizure is a common presentation in the emergency care setting, and newonset epilepsy is the most common cause of unprovoked seizures
Seizures are common in the general population, and about 1 in 10 people will
experience a seizure in their lifetime
Definition
Seizures are transient events that include symptoms and/or signs of abnormal
excessive hypersynchronous activity in the brain
Axis 2: Seizure type. Axis 3: Syndrome (understanding that a syndrome diagnosis may not always be
possible).
Axis 4: Etiology. Axis 5: Impairment (optional, but often useful, additional diagnostic parameter).
Seizure Terminology
Seizure Terminology
Motor manifestations refer to involvement of the musculature, usually with an
increase in muscle contraction that produces a movement
Tonic means a sustained increase in muscle contraction lasting up to minutes Clonic activity refers to a regularly repetitive jerking that is prolonged
Seizure Terminology
Myoclonic jerk or myoclonus refers to a very brief involuntary contraction usually
lasting less than 100 msec
Jacksonian march spreads through contiguous body parts on the same side,
reflecting horizontal spread of seizure activity over the motor strip
clonic phase
Seizure Terminology
Atonic activity refers to a sudden decrease or loss of muscle tone usually
lasting more than 1 second.
Automatisms are repetitive motor activities that are more or less coordinated
and resemble a voluntary movement but are not purposeful
Seizure Terminology
Elementary visual hallucinations would consist of flickering or flashing lights and
other simple patterns such as spots, scotomata, or visual loss
Classification of Seizures
classification of seizures
Seizures that start in one part of one hemisphere are classified as partial (or
partial-onset) seizures, whereas those that start in both hemispheres simultaneously are classified as generalized (or generalized-onset) seizures.
classification of seizures
Focal seizures as originating within networks limited to one hemisphere, with
the possibility of the seizures being discretely localized or more widely distributed, and possibly originating in subcortical structures
Seizure mimics
Syncope
Migraine TIA
Pseudoseizure
Syncope vs seizure
Migraine vs Seizure
Pseudoseizure vs Seizure
Pseudoseizure vs Seizure
Natural History
Management