Medicine an Surgery notes

Apr 25th, 2015
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Status EpilepticusABSENCE SEIZURES.Simple (typical) absence (petit mal) seizures arecharacterized by a sudden cessation of motor activityor speech with a blank facial expression and flickeringof the eyelids These seizures, which are uncommon before age 5yr more prevalent in girls are never associated with an aurararely persist longer than 30 sec are not associated with a postictal stateThese features tend to differentiate absence seizuresfrom complex partial seizures.Children with absence seizures may experiencecountless seizures daily, whereas complex partialseizures are usually less frequent Patients do not lose body tone, but their head mayfall forward slightl. Immediately after the seizure,patients resume preseizure activity with no indicationof postictal impairment Automatic behavior frequently accompanies simpleabsence seizuresHyperventilation for 34 min routinely produces anabsence seizure. The EEG shows a typical 3/sec spikeand generalized wave discharge Complex (atypical) absence seizures have associatedmotor components consisting of myoclonicmovement of the face, fingers, or extremities and, onoccasion, loss of body tone These seizures produce atypical EEG spike and wavedischarges at 22.5/sec.definationcontinuous convulsion lasting longer than2030 min the occurrence of serial convulsionsbetween which there is no return ofconsciousnessStatus epilepticus is a medi

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