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A generalized tonic–clonic seizure, commonly known as a grand mal seizure or GTCS, [1] is a type of generalized seizure that produces bilateral, convulsive tonic and clonic muscle contractions. Tonic–clonic seizures are the seizure type most commonly associated with epilepsy and seizures in general and the most common seizure associated ...
Tonic-clonic seizures occur with a contraction of the limbs followed by their extension and arching of the back which lasts 10–30 seconds (the tonic phase). A cry may be heard due to contraction of the chest muscles, followed by a shaking of the limbs in unison (clonic phase). Tonic seizures produce constant contractions of the muscles.
A seizure is a sudden change in behavior, movement 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 seizure
Vitamin B1 deficiency (thiamine deficiency) was reported to cause seizures, especially in alcoholics. [5] [6] [7] Vitamin B6 depletion (pyridoxine deficiency) was reported to be associated with pyridoxine-dependent seizures. [8] Vitamin B12 deficiency was reported to be the cause of seizures for adults [9] [10] and for infants. [11] [12]
A familial history of seizures puts a person at a greater risk of developing them. [12] [13] Generalized seizures have been broadly classified into two categories: motor and non-motor. [8] A generalized tonic-clonic seizure (GTCS), also known as a grand mal seizure, is a whole-body seizure that has a tonic phase followed by clonic muscle ...
Eclamptic seizure is typically described as a tonic–clonic seizure which may cause an abrupt loss of consciousness at onset. [24] This is often associated with a shriek or scream followed by stiffness of the muscles of the arms, legs, back and chest. During the tonic phase, the mother may begin to appear cyanotic.
[17] [18] It is no less effective at seizure control than phenytoin, but phenobarbital is not as well tolerated. [19] Phenobarbital may provide a clinical advantage over carbamazepine for treating partial onset seizures. Carbamazepine may provide a clinical advantage over phenobarbital for generalized onset tonic-clonic seizures. [20]
In Germany, it is still approved as an antiepileptic drug for humans, particularly children and adolescents. [12] These indications include severe forms of generalized tonic-clonic seizures, early-childhood-related tonic–clonic seizures, and also severe myoclonic seizures during childhood.