MRCEM Notes

Epilepsy: classification

Basics
  • two main categories are generalised and partial seizures
  • partial seizures may progress to general seizures
  • other types: myoclonic, atypical absence, atonic and tonic seizures are usually seen in childhood

Generalised - no focal features, consciousness lost immediately
  • grand mal (tonic-clonic)
  • petit mal (absence seizures)
  • myoclonic: brief, rapid muscle jerks
  • partial seizures progressing to generalised seizures

Partial - focal features depending on location
  • simple (no disturbance of consciousness or awareness)
  • complex (consciousness is disturbed)
  • temporal lobe → aura, dejà vu, jamais vu; motor → Jacksonian

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