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The seizures can be of the tonic–clonic type, with a regular pattern of contraction and extension of the arms and legs, or of types that do not involve contractions, such as absence seizures or complex partial seizures. [1] Status epilepticus is a life-threatening medical emergency, particularly if treatment is delayed. [1]
Absence seizures affect between 0.7 and 4.6 per 100,000 in the general population and 6 to 8 per 100,000 in children younger than 15 years. Childhood absence seizures account for 10% to 17% of all absence seizures. Onset is between 4 and 10 years and peaks at 5 to 7 years. It is more common in girls than in boys. [1]
In CAE, there is only one seizure type observed at time of diagnosis: typical absence seizure. [1] Typical absence seizure is a generalized onset seizure characterized by an abrupt arrest of the activity associated with an awareness impairment. A typical absences seizure usually last between 10 and 30 seconds. [3] Mild automatisms could be seen ...
The production of seizure-like symptoms is not under voluntary control; [13] [14] symptoms which are feigned or faked voluntarily would fall under the categories of factitious disorder or malingering. [15] Risk factors for PNES include having a history of head injury, and having a diagnosis of epilepsy. [16]
Complex partial status epilepticus (CPSE) is one of the non-convulsive forms of status epilepticus, a rare form of epilepsy defined by its recurrent nature. CPSE is characterized by seizures involving long-lasting stupor, staring and unresponsiveness. [1] Sometimes this is accompanied by motor automatisms, such as eye twitching. [2]
Myoclonic seizures: seizures with rapid, brief contractions of muscles. Atonic seizures: seizures with a sudden loss of muscle tone, often resulting in sudden collapse. These are also called drop seizures or astatic seizures. Absence seizures: a generalized seizure characterized by staring off and occasionally some orofacial automatisms.
A seizure is a sudden change in behavior, movement and/or consciousness due to abnormal electrical activity in the brain. [3] [6] Seizures can look different in different people. It can be uncontrolled shaking of the whole body (tonic-clonic seizures) or a person spacing out for a few seconds (absence seizures).
Breakthrough seizures are more likely with a number of triggers. [54]: 57 Often when a breakthrough seizure occurs in a person whose seizures have always been well controlled, there is a new underlying cause to the seizure. [55] Breakthrough seizures vary. Studies have shown the rates of breakthrough seizures ranging from 11 to 37%. [56]