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Clonic phase; The clonic phase is an evolution of the tonic phase and is caused by muscle relaxations superimposed on the tonic phase muscle contractions. This phase is longer than the tonic phase with the total ictal period usually lasting no longer than 1 min. [2] Skeletal muscles will start to contract and relax rapidly, causing convulsions ...
Thereafter, the seizure may or may not evolve into loss of consciousness and a generalized tonic–clonic seizure. [2] [1] In contrast to the auras in ecstatic seizures, most auras of seizures generally are unpleasant, including feelings of anxiety and fear (60%) as well as depression, while positive feelings are only rarely reported. [1]
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.
MEAK is a form of progressive myoclonus epilepsy that typically begins between the ages of 3 and 15 years (the average of onset is 10 years). The first symptoms may include ataxia and myoclonus (unsteadiness and difficulty coordinating movements), along with generalized tonic-clonic ("grand mal") seizures.
Earlier age of seizure onset is correlated with a higher risk of cognitive impairment. Progressive myoclonus epilepsy (PME) is a group of diseases characterized by myoclonus, epileptic seizures, tonic–clonic seizures, and other serious symptoms such as trouble walking or speaking. These rare disorders often get worse over time and can be fatal.
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 ...
Tonic-clonic seizures: seizures with repetitive sequences of stiffening and jerking of the extremities. 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.
If a focal seizure spreads from one hemisphere to the other side of the brain, this will give rise to a focal to bilateral seizure. [5] [6] The person will become unconscious and may experience a tonic–clonic seizure. Individuals with multiple focal seizures typically have a condition known as temporal lobe epilepsy.
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