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By Roger A. Brumback M.D. (auth.)

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Lippincott Co, 1985. Freeman JM, Vining EPG, Pillas DJ: Seizures and Epilepsy in Childhood: A Guide for Parents. Baltimore, Johns Hopkins University Press, 1990. Nelson K, Ellenberg JH: Febrile Seizures. New York, Raven Press, 1981. Porter RJ: Epilepsy: 100 Elementary Principles. Philadelphia, W. B. Saunders Co, 1984. Resor SR Jr, Kutt H (eds): The Medical Treatment of Epilepsy. New York, Marcel Dekker Inc, 1992. Wasterlain CG, Vert P (ed): Neonatal Seizures. New York, Raven Press, 1990. CHAPTER 4: HEADACHE AND CRANIOFACIAL PAIN I.

Diagnosis of withdrawal seizures can only be made if seizure is generalized (not focal) and has typical clinical pattern, no seizures unassociated with alcohol have occurred, and there is no other identifiable cause to account for seizures (such as hypoglycemia, meningitis, subdural hematoma, or pre-existing epilepsy) d. Withdrawal seizures do not recur and do not predispose to epilepsy, if individual remains abstinent e. About one-third of patients with alcohol withdrawal seizures subsequently develop delirium tremens Delirium tremens a.

Classic migraine - unilateral throbbing headache preceded by prodromal aura 1. Aura a. Due to vasoconstriction with consequent cerebral ischemia b. Usually consists of transient (5-30 minutes) visual symptoms of scotoma (black or blind spots in vision), unformed light flashes (scintillations), colors, zigzag lines, or hemianopsia (blindness in one-half of visual field) c. Rare auras include unilateral numbness or tingling, limb weakness, language difficulties (aphasia), or confusion 2. Unilateral throbbing headache follows aura, increases in severity over several hours, and then slowly resolves after about 24 hours; sleep generally hastens resolution of headache 3.

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