Seizures Partial Generalized Electrical discharges in a Diffuse abnormal relatively small group of electrical discharges dysfunctional neurones in from both one cerebral hemisphere hemispheres Aura may reflect site of Symmetrically origIn involved +/-LOC No warning Always LOC
Seizures Partial – Electrical discharges in a relatively small group of dysfunctional neurones in one cerebral hemisphere – Aura may reflect site of origin – + / - LOC Generalized – Diffuse abnormal electrical discharges from both hemispheres – Symmetrically involved – No warning – Always LOC
Partial seizures Simple Complex Secondary 1. W/ motor 1. simple generalized partial--> loss 1. simple partial generalized 2. W/ somato consciousnes sensory 2. complex partial symptoms generalized 2. W/ loss of 3. W/autonomic consciousnes 3 simple partial symptoms s at onset . complex partial generalized 4. W/ psychic symptoms
Simple Complex Partial Seizures 1. w/ motor signs 2. w/ somatosensory symptoms 3. w/ autonomic symptoms 4. w/ psychic symptoms 1. simple partial --> loss of consciousnes s 2. w/ loss of consciousnes s at onset Secondary generalized 1. simple partial --> generalized 2. complex partial --> generalized 3. simple partial --> complex partial --> generalized
Simple partial seizures with motor signs Focal motor w/o march Focal motor w march Versive Postural Phonatory
Simple partial seizures with motor signs Focal motor w/o march Focal motor w/ march Versive Postural Phonatory
t Simple partial seizures with motor signs Sudden onset from sleep Version of trunk M Postural e Left arm bent ● Forcefully stretched fingers 豢 Looks at watch 豢 Note seizure
Simple partial seizures with motor signs Sudden onset from sleep Version of trunk Postural Left arm bent Forcefully stretched fingers Looks at watch Note seizure
Simple partial seizures with sensory symptoms 癱 Somato- sensory Visual Auditory t Olfactory Gustatory Vertiginous
Simple partial seizures with sensory symptoms Somato-sensory Visual Auditory Olfactory Gustatory Vertiginous