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