By Hugh B. McIntyre
Read or Download The Primary Care of Seizure Disorders. A Practical Guide to the Evaluation and Comprehensive Management of Seizure Disorders PDF
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Extra resources for The Primary Care of Seizure Disorders. A Practical Guide to the Evaluation and Comprehensive Management of Seizure Disorders
Of those seizure disorders that develop following a penetrating brain injury, approximately 50 percent will occur by six months, 70 percent by one year, and 80 percent by two years. Partial seizures alone occur in approximately one-fourth of cases and partial seizures progressing to generalized tonic-clonic convulsions occur in about one-half of cases. About one-quarter of cases are clinically manifested by generalized seizures alone. Posttraumatic epilepsy also can result from closed head injury.
These can be grouped under the general categories of brain injury, vascular disease, neoplasms, and focal infections. Also genetic factors can play a role. The Primary Care of Seizure Disorders 30 Etiologies A seizure disorder is a frequently observed sequela of perinatal brain injury. Birth hypoxia, cerebral contusion, infarction in the distribution of a major cerebral artery, and congenital cystic cerebral lesions are all possible etiologies. In such cases the seizures begin in infancy or early childhood and frequently the patients show other neurological signs signifying corticospinal tract disease, basal ganglia disease, or mental retardation.
Myoclonic seizures may be focal or massive. This type of seizure may precede massive infantile spasms. The electroencephalogram is most often a pattern of burst-suppression. It is often difficult to distinguish the jittery, nonconvulsive movements of some infants from seizure activity. Jittery movements resemble tremulousness; they are only occasionally clonic. The dominant movement is a tremor with rhythmic, alternating movements of equal rate and amplitude. They often are stimulus sensitive and can be stopped by flexion of the involved limb.
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