Tarun Prudvi BMBBS IV year.
Classification,Clinical features,Pathophysiology
Of
EPILEPSY
Classification
Tonic-clonic seizure
Focal partial seizure
Pathophysiology
Infantile spasmAGE GROUP: 3 mnth -1 YEARS.
MIXED (M.C).
Salaam spells, developmental retardation.
Poor prognosis.EEG: HYPSARRHYTHMIA.
CHILDHOOD SEIZURESBENIGNINTERMEDIATECATASTROPHIC2- 12 YEARS
BENIGNBenign Rolandic epilepsyAGE GROUP: 4-10 YEARS.
SIMPLE PARTIAL SEIZURE. USUALLY DURING SLEEP.
ASS W/ ABNORMAL MOVEMENTS OF TONGUE AND FACE.
SECONDARY GENERALISED.
EEG: CENTRO-TEMPORAL SPIKES.
BENIGNBenign Occipital epilepsyAny type seizure, no clear
clinical course w/ visual aura.
EEG: OCCIPITAL SPIKE WAVES
4-10 years. NEUROLOGICALLY NORMAL.
EEG: CLASSIC 3Hz WAVE SPIKES.
MEDICATION MAY BE UNSUCCESSFULOFTEN W/ COAGNITIVE DISORDERS/
LEARNING PROBLEMS.
HYPERVENTILATION TEST.INTERMEDIATEChildhood absence epilepsy
Childhood absence epilepsy
Same as absence seizure. But ass w/ strong detrusor
contraction.
Frequent.
MEDICATION MAY BE UNSUCCESSFULOFTEN W/ COAGNITIVE DISORDERS/
LEARNING PROBLEMS.
CHILDREN CONSTANTLY WET.INTERMEDIATEMicturational absence
Same as absence seizure.
CHILD STOPS SUDDENLY, ARMS EXTENDED & RATCHET UPWARD WITH
JERKING MOTION.
EEG: 3Hz spike wave
MEDICATION MAY BE UNSUCCESSFUL, VERY RESISTENT.OFTEN W/
COAGNITIVE DISORDERS/ LEARNING PROBLEMS.
INTERMEDIATEMyoclonic absence
Myoclonic absence seizure
Marked eyelid and upper face jerky movements.
Very resistant to Rx.INTERMEDIATEAbsence w/ eyelid myoclonus
Absence w/ eyelid myoclonus
CRYPTOGENIC PARTIAL SEIZURESTRUE BENIGN.
NORMAL INTELIGENCE.
CANNOT BE CLASSIFIED AS ANYOTHER BENIGN CONDITION.
NO TREATMENT IS USUALLY REQUIRED
CONTINUES SPIKE -WAVE IN SLOW SLEEP CATASTROPHICRESTRICTED TO
CHILDHOOD USUALLY.
PARTIAL SEIZURE + COGNITIVE DETIORIATION
EEG: SPIKES WAVES DURING SLOW WAVE SLEEP.
THIS MAY PROLONG TO MANY YEARS OR STOPS ABRUPTLY.
LANDAU-KLEFFNER SYNDROMECATASTROPHIC1-8 YEARS. PREVIOUSLY
NORMAL.
SERIOUS LANGUAGE DETERIORATION, BEHAVIOUR DETRIMENT.
FOCAL OR GENERALIZED SEIZURES. (MIXED GENERALISED SEIZURES)
EEG: HIGH FREQUENCY, HIGH SPIKES.
Lennox Gastaut syndromeCATASTROPHICAKINETIC SEIZURES + MENTAL
HANDICAP + SLOW GENERALISED SPIKES ON EEG
NON-CONVULSIVE STATUS CHILD NON RESPONSIVE, DOESNT PLAY,
INTERACT.
Lennox Gastaut syndrome
MYOCLONIC ASTATIC SEIZURESCATASTROPHICDROP ATTACKS.
IF SEVERE RESEMBLE LGS
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