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Kaif Saiyed
B.Pharm 2nd year
A disorder in which nerve cell activity in the brain
is disturbed, causing seizures.
Epilepsy may occur as a result of a genetic
disorder or an acquired brain injury, such as a
trauma or stroke.
NOTE- A SEIZURE IS A SUDDEN, UNCONTROLLED
ELECTRICAL DISTURBANCE IN THE BRAIN. IT CAN
CAUSE CHANGES IN YOUR BEHAVIOR, MOVEMENTS
OR FEELINGS, AND IN LEVELS OF CONSCIOUSNESS.
EPILEPSY IS
NOT CONTAGIOUS
The Neurological dysfunction seen in epilepsy can :
- begin at birth
- childhood
- Adolescence
- even in adulthood
Partial seizures
Generalised seizures
Unclassified seizures
Absence
myoclonic
Clonic
Tonic
Tonic-clonic
Atonic
Infantial spasms
Simple
Complex
Partial seizures
Common in 80% patients
Simple partial seizure
Does not cause loss of consciousness
Signs and symptoms
MOTOR-convulsive jerking, lip smacking
Automatic - sweating, pupil dilation
Behavioural - hallucinations
impairment of consciousness
purposeless behaviour is common
affected person may wander about aimlessly
aggressive behaviour (violence)
visual, auditory, or olfactory hallucinations
Complex Partial seizures
Generalised seizures
AFFECTING BOTH THE HEMISPHERE
ABSENCE SEIZURES
Alterations of conciousness
lasting 10-30sec Staring (with occ. eye blinking)
& loss in postural tone 100 or more daily
Onset occurs from 3-16yrs, disappear by 40yrs.
MYOCLONIC
sudden. Involuntary jerking of facial or limb
muscles
in rhythmic manner
CLONIC
Sustained muscle contractions alternating with relaxations
TONIC
Sustained muscle stiffening
TONIC-CLONIC
Sudden loss of consciousness
Sudden loss of postural tone, pt
falls to the ground
Occur primarily in children
ATONIC
UNCLASSIFIED SEIZURES
If there is not enough information about a person's
seizure, or if it is unusual, doctors may call it is
an unclassified seizure.
HIGH FEVER, ESPECIALLY IN INFANTS
DRUG USE, ALCOHOL WITHDRAWAL
NEAR-DROWNING OR LACK OF OXYGEN FROM
ANOTHER CAUSE
METABOLIC DISTURBANCES
"HEAD TRAUMA
BRAIN TUMOR, INFECTION, STROKE
COMPLICATION OF DIABETES OR PREGNANCY
Epilepsy may occur with
Developmental disabilities
Autism
Cognitive impairments
A seizure orignates from grey matter of any
cortical or subcortical area
Abnormal firing of neurons
Locally
Breakdown of normal membrane conductance
& inhibitory synaptic currents
Widely
Focal seizure Generalized seizure
•Electroencephalogram (EEG)
Magnetic Resonance Imaging
(MRI)
Functional MRI (fMRI)
Computed Tomography (CT)
Positron emission tomography
(PET)
Single-photon emission
computerized tomography
(SPECT)
ANTI-EPILEPTIC DRUGS (AEDS)
AEDs work by changing the levels of
chemicals in your brain. They do not cure
epilepsy, but can stop seizures happening.
COMMON TYPES INCLUDE:
SODIUM VALPROATE
CARBAMAZEPINE LAMOTRIGINE
LEVETIRACETAM TOPIRAMATE
THANK YOU
Kaif
saiyed

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EPILEPSY.pdf

  • 2. A disorder in which nerve cell activity in the brain is disturbed, causing seizures. Epilepsy may occur as a result of a genetic disorder or an acquired brain injury, such as a trauma or stroke. NOTE- A SEIZURE IS A SUDDEN, UNCONTROLLED ELECTRICAL DISTURBANCE IN THE BRAIN. IT CAN CAUSE CHANGES IN YOUR BEHAVIOR, MOVEMENTS OR FEELINGS, AND IN LEVELS OF CONSCIOUSNESS.
  • 3. EPILEPSY IS NOT CONTAGIOUS The Neurological dysfunction seen in epilepsy can : - begin at birth - childhood - Adolescence - even in adulthood
  • 4. Partial seizures Generalised seizures Unclassified seizures Absence myoclonic Clonic Tonic Tonic-clonic Atonic Infantial spasms Simple Complex
  • 5. Partial seizures Common in 80% patients Simple partial seizure Does not cause loss of consciousness Signs and symptoms MOTOR-convulsive jerking, lip smacking Automatic - sweating, pupil dilation Behavioural - hallucinations
  • 6. impairment of consciousness purposeless behaviour is common affected person may wander about aimlessly aggressive behaviour (violence) visual, auditory, or olfactory hallucinations Complex Partial seizures
  • 7. Generalised seizures AFFECTING BOTH THE HEMISPHERE ABSENCE SEIZURES Alterations of conciousness lasting 10-30sec Staring (with occ. eye blinking) & loss in postural tone 100 or more daily Onset occurs from 3-16yrs, disappear by 40yrs. MYOCLONIC sudden. Involuntary jerking of facial or limb muscles in rhythmic manner
  • 8. CLONIC Sustained muscle contractions alternating with relaxations TONIC Sustained muscle stiffening TONIC-CLONIC Sudden loss of consciousness
  • 9. Sudden loss of postural tone, pt falls to the ground Occur primarily in children ATONIC UNCLASSIFIED SEIZURES If there is not enough information about a person's seizure, or if it is unusual, doctors may call it is an unclassified seizure.
  • 10. HIGH FEVER, ESPECIALLY IN INFANTS DRUG USE, ALCOHOL WITHDRAWAL NEAR-DROWNING OR LACK OF OXYGEN FROM ANOTHER CAUSE METABOLIC DISTURBANCES "HEAD TRAUMA BRAIN TUMOR, INFECTION, STROKE COMPLICATION OF DIABETES OR PREGNANCY
  • 11. Epilepsy may occur with Developmental disabilities Autism Cognitive impairments
  • 12. A seizure orignates from grey matter of any cortical or subcortical area Abnormal firing of neurons Locally Breakdown of normal membrane conductance & inhibitory synaptic currents Widely Focal seizure Generalized seizure
  • 13. •Electroencephalogram (EEG) Magnetic Resonance Imaging (MRI) Functional MRI (fMRI) Computed Tomography (CT) Positron emission tomography (PET) Single-photon emission computerized tomography (SPECT)
  • 14. ANTI-EPILEPTIC DRUGS (AEDS) AEDs work by changing the levels of chemicals in your brain. They do not cure epilepsy, but can stop seizures happening. COMMON TYPES INCLUDE: SODIUM VALPROATE CARBAMAZEPINE LAMOTRIGINE LEVETIRACETAM TOPIRAMATE