tailieunhanh - EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST- part 3

Đơn giản một phần bắt đầu, tiếp theo suy giảm ý thức 2. Với suy yếu của ý thức C. một phần khởi phát cơn động kinh phát triển thứ co giật tổng quát 1. Cơn động kinh cục bộ đơn giản phát triển cơn động kinh tổng quát 2. Cơn động kinh cục bộ phức tạp phát triển lên cơn co giật tổng quát | Differential Diagnosis and Classification of Seizures and Epilepsy TABLE International Classification of Epileptic Seizures I. Partial focal local seizures A. Simple partial seizures 1. With motor signs 2. With somatosensory or special sensory symptoms 3. With autonomic symptoms or signs 4. With psychic symptoms B. Complex partial seizures 1. Simple partial onset followed by impairment of consciousness 2. With impairment of consciousness at onset C. Partial seizures evolving to secondarily generalized seizures 1. Simple partial seizures evolving to generalized seizures 2. Complex partial seizures evolving to generalized seizures 3. Simple partial seizures evolving to complex partial seizures evolving to generalized seizures II. Generalized seizures convulsive or nonconvulsive A. Absence seizures 1. Typical absences 2. Atypical absences B. Myoclonic seizures C. Clonic seizures D. Tonic seizures E. Tonic-clonic seizures F. Atonic seizures astatic seizures III. Unclassified epileptic seizures From Commission on Classification and Terminology of the International League Against Epilepsy 1981. Used with permission. posterior quadrant. Frontal lobe seizures on the other hand are often ushered in by feelings of lightheadedness conscious confusion or other cephalic sensations. Interestingly the experiential or psychic temporal lobe auras may be misinterpreted as unnatural phenomena. Thus déjà vu and memory flashback experiences sudden unmotivated fear or olfactory and gustatory hallucinations may be attributed to the direct action or influence of spirits or other entities related to the religious folklore of different cultures. Such misattributions are certainly overrepresented in less educated communities of developing countries. Simple partial motor seizures initially involve body parts well represented in the cortical motor strip humunculus such as the hand or face on one side of the body. As the seizure progresses ictal involvement of a whole hemibody can occur. .