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Tarun Prudvi B
MBBS IV year.
Classification,
Clinical features,
Pathophysiology
Of
EPILEPSY
Classification
Tonic-clonic seizure Focal partial seizure
Pathophysiology
Infantile spasm
AGE GROUP: 3 mnth -1 YEARS.
MIXED (M.C).
Salaam spells, developmental retardation.
Poor prognosis.
EEG: HYPSARRHYTHMIA.
CHILDHOOD SEIZURES
BENIGN INTERMEDIATE CATASTROPHIC
2- 12 YEARS
BENIGN Benign Rolandic epilepsy
AGE GROUP: 4-10 YEARS.
SIMPLE PARTIAL SEIZURE. USUALLY DURING SLEEP.
ASS W/ ABNORMAL MOVEMENTS OF TONGUE AND FACE.
SECONDARY GENERALISED.
EEG: CENTRO-TEMPORAL SPIKES.
BENIGN Benign Occipital epilepsy
Any 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 UNSUCCESSFUL
OFTEN W/ COAGNITIVE DISORDERS/ LEARNING PROBLEMS.
HYPERVENTILATION TEST.
Childhood absence epilepsy
Childhood absence epilepsy
Same as absence seizure. But ass w/ strong detrusor contraction.
Frequent.
MEDICATION MAY BE UNSUCCESSFUL
OFTEN W/ COAGNITIVE DISORDERS/ LEARNING PROBLEMS.
CHILDREN CONSTANTLY WET.
Micturational 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.
Myoclonic absence
Myoclonic absence seizure
Marked eyelid and upper face jerky movements.
Very resistant to Rx.
Absence w/ eyelid myoclonus
Absence w/ eyelid myoclonus
CRYPTOGENIC PARTIAL SEIZURES
TRUE BENIGN.
NORMAL INTELIGENCE.
CANNOT BE CLASSIFIED AS ANYOTHER BENIGN CONDITION.
NO TREATMENT IS USUALLY REQUIRED
CONTINUES SPIKE -WAVE IN SLOW SLEEPCATASTROPHIC
RESTRICTED 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 SYNDROMECATASTROPHIC
1-8 YEARS. PREVIOUSLY NORMAL.
SERIOUS LANGUAGE DETERIORATION, BEHAVIOUR DETRIMENT.
FOCAL OR GENERALIZED SEIZURES. (MIXED GENERALISED SEIZURES)
EEG: HIGH FREQUENCY, HIGH SPIKES.
Lennox Gastaut syndromeCATASTROPHIC
AKINETIC SEIZURES + MENTAL HANDICAP + SLOW GENERALISED SPIKES ON EEG
NON-CONVULSIVE STATUS – CHILD NON RESPONSIVE, DOESN’T PLAY,
INTERACT.
Lennox Gastaut syndrome
MYOCLONIC ASTATIC SEIZURESCATASTROPHIC
DROP ATTACKS.
IF SEVERE RESEMBLE LGS
END

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