Epilepsy: Difference between revisions

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Epilepsy is diagnosed clinically. Without seeing or hearing a description of epilepsy, a diagnosis cannot be made. As such, the classification of epilepsy is incredibly detailed which is why is warrants a big title:
Epilepsy is diagnosed clinically. Without seeing or hearing a description of epilepsy, a diagnosis cannot be made. As such, the classification of epilepsy is incredibly detailed which is why is warrants a big title:


===Classification===
===Classification Of Seizures===
The first division to make is into ''partial'' and ''generalised'' which describe the area of the brain affected. The definitions are:
The first division to make is into ''partial'' and ''generalised'' which describe the area of the brain affected. The definitions are:
*'''Partial''' seizures involve a '''localised area of the brain'''
*'''Partial''' seizures involve a '''localised area of the brain'''
*'''Generalised''' seizures involve the '''whole brain'''
*'''Generalised''' seizures involve the '''whole brain'''
Let's deal with partial seizures first.


====Partial Seizures====
====Partial Seizures====
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*'''Simple''' partial seizures do '''NOT cause a loss of consciousness'''
*'''Simple''' partial seizures do '''NOT cause a loss of consciousness'''
*'''Complex''' partial seizures '''DO cause a loss of consciousness'''
*'''Complex''' partial seizures '''DO cause a loss of consciousness'''
====Generalised seizures====
These always results in a loss of consciousness and as such cannot be classified in this way. The most important types of generalised epilepsy are:
*Absences
*Tonic-clonic seizures
There are four other types of seizure which are considered generalised but are less common: myoclonic seizures, clonic seizures, tonic seizures and atonic seizures


===Investigations===
===Investigations===
===Management===
===Management===
===Prognosis===
===Prognosis===

Revision as of 13:00, 20 August 2008

Definition

Epidemiology

Pathophysiology

Risk Factors

Clinical Features

Epilepsy is diagnosed clinically. Without seeing or hearing a description of epilepsy, a diagnosis cannot be made. As such, the classification of epilepsy is incredibly detailed which is why is warrants a big title:

Classification Of Seizures

The first division to make is into partial and generalised which describe the area of the brain affected. The definitions are:

  • Partial seizures involve a localised area of the brain
  • Generalised seizures involve the whole brain

Partial Seizures

Partial seizures can be further divided into simple and complex which describe the effect on consciousness. The definitions are:

  • Simple partial seizures do NOT cause a loss of consciousness
  • Complex partial seizures DO cause a loss of consciousness


Generalised seizures

These always results in a loss of consciousness and as such cannot be classified in this way. The most important types of generalised epilepsy are:

  • Absences
  • Tonic-clonic seizures

There are four other types of seizure which are considered generalised but are less common: myoclonic seizures, clonic seizures, tonic seizures and atonic seizures

Investigations

Management

Prognosis