oGeneralized Seizures
  • Involves the whole brain
  • Common types include absence and tonic-clonic
  • Symptoms may include convulsion, staring, muscle spasms and falls

ABSENSE SEIZURES:

  • Pause in activity with blank stare
  • Brief lapse of awareness
  • Possible blinking or chewing motion
  • Usually lasts 1 to 10 seconds
  • May occur many times a day
  • May be confused with:
             Day dreaming
n             Lack of attention
n             ADD

TONIC CLONIC:
  • oA sudden, hoarse cry
  • Loss of consciousness
  • A fall
  • Convulsions (stiffening of arms & legs followed by rhythmic jerking)
  • oPossible loss of bowel or bladder control
    o
  • Occasionally skin, nails or lips may turn blue
    o
  • Generally lasts 1 to 3 minutes.
  • Usually followed by confusion, headache, tiredness, soreness, speech difficulty


nPartial Seizures
  • nInvolve only part of the brain
  • nCommon types include simple partial and complex partial
  • nSymptoms relate to the part of the brain affected

SIMPLE PARTIAL:

  • nFull awareness maintained
  • Rhythmic movements (isolated twitching of arms, face, legs)
  • nSensory symptoms (tingling, weakness, sounds, smells, tastes, feeling of upset stomach, visual distortions) 
  • Psychic symptoms (deja vu, hallucinations, feelings of fear of anxiety, or a feeling they cannot explain)n
  • Usually lasts less than one minute
  • May be confused with: acting out, mystical experiences or psychosomatic illness
n
COMPLEX PARTIAL:
  • Awareness is impaired/Inability to respond
  • Often begins with blank dazed stare
  • AUTOMATISMS (repetitive purposeless movements)
  • Clumsy or disoriented movements, aimless walking, picking things up, nonsensical speech or lip smacking
  • Often lasts one to three minutes
  • Often followed by tiredness, headache or nausea
  • Person may become combative if restrained
  • May be confused with:
    • Drunkenness or drug abuse
    • Aggressive behavior
    • Mental illness