Site Map: |
About Seizures:
Click here for article from
MedicineNet
Epilepsy occurs when nerve cells in the brain fire electrical impulses at a rate
of up to four times higher than normal. This causes a sort of electrical storm
in the brain, known as a seizure. A pattern of repeated seizure is referred to
as epilepsy. Medication controls seizure for the majority of patients, who are
otherwise healthy and able to live full and productive lives.
Click here for article from
MedicineNet, Symptoms
Based
on the type of behavior and brain activity, seizures are divided into two broad
categories: generalized and partial (also called local or focal). Classifying
the type of seizure helps physicians diagnose whether or not a patient has
epilepsy.
Generalized
seizures are produced by electrical impulses from throughout the entire brain,
whereas partial seizures are produced (at least initially) by electrical
impulses in a relatively small part of the brain. The part of the brain
generating the seizures is sometimes called the focus. The most common types of
seizures are listed below:
Generalized Seizures
(Produced by the entire brain) |
Symptoms |
1. "Grand
Mal" or Generalized tonic-clonic |
Unconsciousness, convulsions, muscle rigidity |
2. Absence |
Brief loss
of consciousness |
3.
Myoclonic |
Sporadic
(isolated), jerking movements, loss of consciousness |
4. Clonic |
Repetitive, jerking movements |
5. Tonic |
Muscle
stiffness, rigidity |
6. Atonic |
Loss of
muscle tone |
Generalized
Seizures
There
are six types of generalized seizures. The most common and dramatic, and
therefore the most well known, is the generalized convulsion, also called the
grand-mal seizure. In this type of seizure, the patient loses consciousness
and usually collapses. The loss of consciousness is followed by generalized body
stiffening (called the "tonic" phase of the seizure) for 30 to 60 seconds, then
by violent jerking (the "clonic" phase) for 30 to 60 seconds, after which the
patient goes into a deep
sleep (the "postictal" or after-seizure phase). During grand-mal seizures,
injuries and accidents may occur, such as tongue biting and
urinary incontinence.
Absence
seizures
cause a short loss of consciousness (just a few seconds) with few or no
symptoms. The patient, most often a child, typically interrupts an activity and
stares blankly. These seizures begin and end abruptly and may occur several
times a day. Patients are usually not aware that they are having a seizure,
except that they may be aware of "losing time."
Myoclonic
seizures
consist of sporadic jerks, usually on both sides of the body. Patients sometimes
describe the jerks as brief electrical shocks. When violent, these seizures may
result in dropping or involuntarily throwing objects.
Clonic
seizures
are repetitive, rhythmic jerks that involve both sides of the body at the same
time.
Tonic seizures
are characterized by stiffening of the muscles.
Atonic
seizures
consist of a sudden and general loss of muscle tone, particularly in the arms
and legs, which often results in a fall.
Partial
Seizures
(Produced by a small area of the brain) |
Symptoms |
1. Auras
(awareness is retained)
a. Simple Motor
b. Simple Sensory
c. Simple Psychological |
a.
Jerking, muscle rigidity, spasms, head-turning
b. Unusual sensations affecting either the vision, hearing, smell taste or
touch
c. Memory or emotional disturbances |
2. Complex
(Impairment of awareness) |
Automatisms such as lip smacking, chewing, fidgeting, walking and other
repetitive, involuntary but coordinated movements |
3. Partial
seizure with secondary generalization |
Symptoms
that are initially associated with a preservation of consciousness that then
evolves into a loss of consciousness and convulsions. |
Partial
Seizures
Partial
seizures
are divided into simple, complex and those that evolve into secondary
generalized seizures. The difference between simple and complex seizures is that
during simple partial seizures, patients retain awareness; during complex
partial seizures, they lose awareness.
Simple partial
seizures
are further subdivided into four categories according to the nature of their
symptoms: motor, autonomic, sensory or psychological. Motor symptoms include
movements such as jerking and stiffening. Sensory symptoms caused by seizures
involve unusual sensations affecting any of the five senses (vision, hearing,
smell, taste or touch). When simple partial seizures cause sensory symptoms only
(and not motor symptoms), they are called "auras."
Autonomic symptoms affect the autonomic nervous system, which is the group of
nerves that control the functions of our organs, like the heart, stomach,
bladder, intestines. Therefore autonomic symptoms are things like racing heart
beat, stomach upset,
diarrhea, loss of bladder control. The only common autonomic symptom is a
peculiar sensation in the stomach that is experienced by some patients with a
type of epilepsy called temporal lobe epilepsy . Simple partial seizures with
psychological symptoms are characterized by various experiences involving memory
(the sensation of deja-vu), emotions (such as fear or pleasure), or other
complex psychological phenomena.
Complex
partial seizures,
by definition, include impairment of awareness. Patients seem to be "out of
touch," "out of it" or "staring into space" during these seizures. There may
also be some "complex" symptoms called automatisms. Automatisms consist of
involuntary but coordinated movements that tend to be purposeless and
repetitive. Common automatisms include lip smacking, chewing, fidgeting and
walking.
The
third kind of partial seizure is one that begins as a focal seizure and evolves
into a generalized convulsive ("grand-mal") seizure.
Most
patients with partial seizures have simple partial, complex partial and
secondarily generalized seizures. In about two-thirds of patients with partial
epilepsy, seizures can be controlled with medications. Partial seizures that
cannot be treated with medications can often be treated surgically.
Also check
out:
http://www.epilepsyfoundation.org/
|
Go Now |