Secondary MANAGEMENT SEIZURE

DISEASE HISTORY ASSSOCATED SIGN AND TEST

SYMPTOMS PHYSICAL
FINDING
EPILEPSI Attack pattern / epilepsy, namely: On general and - EEG
form 1) Partial seizures neurological - Asymmetry
. Duration of Lesions present in examination, it of rhythm
attack partial seizures can be seen and voltage
C. Symptoms originate from a that there are waves in the
before, during, small portion of signs of same area in
and after an attack the brain or disorders the two
D. Attack one cerebral related to hemispheres
frequency hemisphere. The epilepsy such as of the brain,
E. Precipitating seizure occurs on head trauma, - The rhythm
factors one side or one congenital of the waves
Presence or part of the disorders, focal is irregular,
absence of other body and the or diffuse the rhythm
illnesses currently patient's neurological of the waves
suffered consciousness is disorders, ear is slower
G. The age at generally still or sinus than it
which the first good. infections. should be,
attack occurred a. Simple partial Because the - The
H. History of seizures occurrence of presence of
pregnancy, Symptoms include epileptic waves that
childbirth and focal motor seizures must are usually
development seizures, be pushed aside not found in
I. History of hallucinatory through a normal
disease, causes, females, physical children, for
and previous psychoilution or examination example
therapy emotionality using age and sharp
J. Family history of complex. In simple history of waves, nails
epilepsy. General partial seizures, disease as a ( spike),
the patient's guide. For nails,
awareness is still children, the compound
good. examiner nails, and
b. Complex partial should pay paroximally
seizures attention to generated
Symptoms vary developmental slow waves
and are almost delays, - CT SCAN
the same as those organomegaly, - MRII
of simple partial and differences
seizures, but the in size between
most typical are limbs can
decreased indicate the
consciousness and onset of
automatism. unilateral brain
2) Generalized growth
seizures disorders
The lesions in
generalized
seizures originate
in large parts of
the brain or
both cerebral
hemispheres.
Seizures occur in
all parts of the
body and the
patient's
consciousness
generally
decreases.
a. Absence
seizures
Sudden and
sudden loss of
consciousness
(several seconds)
with
amnesia. These
attacks are
accompanied by
no warning such
as
aura or
hallucinations, so
they often go
undetected.
Atonic seizures
Sudden and
usually total loss
of tone in the
muscles of the
limbs,
neck and trunk.
The duration of
seizures can be
very short or
longer.
c. Myoclonic
Seizures
Characterized by
rapid and brief
bilateral
symmetrical
muscle
contractions. The
seizures that
occur can be
single or
recurrent.
Tonic-Clonic
Seizures
Often referred to
as seizures grand
mall.
Consciousness is
lost
rapidly and
completely with
persistent and
massive
contractions
throughout the
muscles. The eyes
have an upward
deviation. The
tonic phase lasts
10 - 20 seconds
and is followed by
a clonic phase
which lasts about
30 seconds.
During the tonic
phase, autonomic
phenomena such
as pupil dilation,
salivation and
increased heart
rate are evident.
Clonic seizures
The symptoms
that occur are
almost the same
as myoclonic
seizures, but the
seizures that
occur last longer,
usually up to 2
minutes.
Tonic Seizures
Characterized by
stiffness and
 tension in
muscles. Sufferers
often
experience falls
due to loss of
balance
ENCEPHALITIS