7/18/2011 1 Clinical Use of Antiepileptic Drugs and Clinical Use of ...
7/18/2011 1 Clinical Use of Antiepileptic Drugs and Clinical Use of ...
7/18/2011 1 Clinical Use of Antiepileptic Drugs and Clinical Use of ...
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7/<strong>18</strong>/<strong>2011</strong>Focal seizureFOCAL SEIZURE13• Originate within networks limited to onehemisphere• may originate in subcortical structures• In some cases, there is more than onenetwork,• more than one seizure type• For each seizure type• have a consistent site <strong>of</strong> onset• ictal onset is consistent from one seizureto another14Descriptors <strong>of</strong> focal seizures• Without impairment <strong>of</strong> consciousness orawareness• With observable motor or autonomiccomponents• Involving subjective sensory or psychicphenomena only• With impairment <strong>of</strong> consciousness orawareness• Evolving to a bilateral, convulsive seizureUnknown seizure type• Epileptic spasm• inadequate knowledge to classifyepileptic spasm as focal, generalized, orboth1516EPILEPSY SYNDROMES ANDOTHER EPILEPSIESElectroclinical syndromes <strong>and</strong>other epilepsies• Electroclinical syndromes arranged by ageat onset• Distinctive constellations• Epilepsies p attributed to <strong>and</strong> organized bystructural-metabolic causes• Epilepsies <strong>of</strong> unknown cause• Conditions with epileptic seizures that aretraditionally not diagnosed as a form <strong>of</strong>epilepsy per se17<strong>18</strong>3
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