Daily Bolus of LR: Focal Seizures (Partial Seizures)

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August 31, 2011 by dailybolusoflr

Focal seizures

 

·         Can be either simple partial or complex partial

·         Simple partial seizures

o   Only affect one hemisphere and therefore do NOT affect consciousness

o   These patients can have a focal clonic movement, a focal sensory change with paresthesias, a sensory hallucination (visual or olfactory)

o   These symptoms sometimes are in conjunction with the onset of fear or sweating  (patients may relate this as an accompanying aura but these can be actual autonomic or psychic seizures)

·         Complex partial seizures

o   DO affect consciousness with patients being amnestic to the seizure

o   Patients often describe an aura and are post-ictal

o   They may demonstrate automatisms such as repeating a word or phrase, lip or tongue smacking or a repetitive motor movement

o   Complex partial seizures are more likely to generalize to full tonic clonic seizures

 

Ref: Harwood-Nuss 5th ed

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