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25 Cards in this Set

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partial seizure
seizure onset is focal
partial simple seizure
no loss of consciousness during the seizure
often described as the "aura" that precedes their seizures
partial motor seizure
onset of the seizure activity involves the precentral gyrus resulting in rhythmic shaking with no loss of consciousness
focal motor status epilepticus
twitching of one side of the body or limb for months to years
patients describes a "breeze" or a poorly described sensation over their extremity
partial somatosensory seizure
partial simple seizure in Heschl's gyrus
auditory - buzzing, hissing sounds
partial seizure that commonly involves the uncus
gustatory-olfactory seizure - foul odor
symptoms include epigastric sensations, sweating, pupillary dilation, pallor
partial autnomic seizure
differentiate partial complex from partial simple seizures
partial complex - patient's level of consciousness is altered, automatisms are the hallmark finding
may begin as a partial simple seizure, then spreads to involve more of the brain resulting in altered consciousness and automatisms
partial complex seizure
stereotypic and repetitive movements: lip smacking, chewing, picking at clothes
automatisms
secondary generalization
refers to generalized tonic-clonic seizures which began as a partial simple or a partial complex seizure
steps involved in a tonic-clonic seizure
crying out
tonic phase
clonic phase
postictal period
time table of a typical adult seizure
lasting no more than 1-2 minutes
most grand mal seizures begin as focal or partial onset epileptic activity
**
characteristics of absence (petit mal) seizure
occur in childhood
manifested by multiple brief and daily staring spells (hundreds)
EEG finding of 3Hz spike
onset of the epileptic activity occurs in the brain stem RAS or the thalamus
primary generalized seizure
how to distinguish if generalized seizure was focal or generalized onset
generalized onsethas lack of focal description - no foul small, focal shaking, automatisms
where are most pure atonic or tonic seizures seen
developmentally delayed children
manifestation of sudden jerk-like motions without loss of consciousness
myoclonic seizures
seizure associated with depression, anxiety, somatization disorder, conversion disorder, malingering
psychogenic nonepileptic seizures
characteristics of psychogenic nonepileptic seizures
atypical movements
lasts for hours
never respond to medication
no postictal phase
*eye closed
most epileptigenic lobe of the brain
temporal lobe
classic 3 per second spike and wave pattern seen in on EEG
absence seizure
different types of generalized seizures
absence
primary-generalized
atonic
tonic
myoclonic