1 / 106

Seizures E PILEPTIC / N on Epileptic What is that ???

Seizures E PILEPTIC / N on Epileptic What is that ???. Al- Quds University School of Medicine Lectures 5 th year Updated September, 2012. Dr. Samir Khalil Consultant Pediatric Neurologist Makassed Hospital Clinical Assistant Professor Al-Quds University. CONCEPTS & GLOSSARY.

huyen
Download Presentation

Seizures E PILEPTIC / N on Epileptic What is that ???

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SeizuresEPILEPTIC / NonEpilepticWhat is that ??? Al-Quds University School of Medicine • Lectures 5th year • Updated September, 2012 Dr. SamirKhalil Consultant Pediatric Neurologist Makassed Hospital • Clinical Assistant Professor • Al-Quds University

  2. CONCEPTS & GLOSSARY • Attack • Convulsion • Seizure • Fit

  3. Attack • A violent act starting on with vigor

  4. Attack • Is used • to describe • epileptic & • non-epileptic • disorder.

  5. Attack • Is used • to describe • epileptic & • non-epileptic • disorder.

  6. attack • Is used • to describe • epileptic & • non- • epileptic • disorder. • We say: • Attack of laughing • Breath Holding Attack / or spell • An attack of febrile convulsion • Conversion Reaction • Epileptic attack

  7. attack • ? • Is used • to describe • epileptic & • non- • epileptic • disorder.

  8. attack • ? • Is used • to describe • epileptic & • non- • epileptic • disorder.

  9. convulsion An intense, paroxysmal, involuntary contraction or series of contractions of voluntary muscles

  10. convulsion • Is used to • describe • epileptic & • non- • epileptic • motor act / • shaking

  11. convulsion • Is used to • describe • epileptic & • non- • epileptic • motor act / • shaking

  12. convulsion If there is no movement (displacement in place), the term “convulsion” is not applied. The term “convulsion” implies movement/s

  13. convulsion • We say: • Clonic convulsion but not tonic convulsions • Tonic-clonic convulsions • Myoclonic convulsion but not absence • convulsion. • ……Absence / Petit male is not a convulsion • Neither arrhythmia nor tachycardia nor apnea

  14. seizure • A sudden, involuntary event/s that may include: • Motor activity •  Altered level of consciousness • Somatosensory symptoms

  15. seizure • Used to describe epileptic disorders

  16. Seizure vsConvulsion • A convulsive attack: • Always labeled as seizure • Contrary, not all seizures convulse • So a seizure is not synonym to convulsion • We say • Epileptic seizure/s. • Grand male seizure/s. • Petit male seizure/s. • His absence seizures are completely controlled by Valproic acid

  17. Fit • A seizure or convulsion • especially those of • epileptic nature

  18. Seizureswork up Pattern Duration • Frequency Diagnosis Physiopathology Classification

  19. Seizures’ Patterns • TONIC • CLONIC • TONIC- • CLONIC • Myoclonic • ATONIC • Absence Infantile Spasm • Opso • Myoclonic Un Classified Status Epilepticus

  20. Seizures’ Pattern • TONIC

  21. Seizures’ Pattern • CLONIC

  22. Seizures’ Pattern • TONIC- • CLONIC • ?

  23. Seizures’ Pattern • Myoclonic

  24. Seizures’ Pattern • Myoclonic • (Startels)

  25. Seizures’ Pattern • Absence

  26. Seizures’ Pattern • Infantile Spasms

  27. Seizures’ Pattern • OpsoMyoclonic

  28. Seizures’ Pattern • OpsoMyoclonic

  29. Seizures’ Pattern • Un Classified

  30. Seizures’ Pattern • Status • Epilepticus A seizure for more than 30 minutes Or Frequent Seizures without Regaining Usual State of Consciousness

  31. Seizures’ Pattern • Status • Epilepticus

  32. Seizures’ Pattern • Intermittent Illumination • Provoked Seizures

  33. duration • Pre-ictal • Ictal • (Inrtra-ictal) • Post-ictal • Immediate Post-ictal • LatePost-ictal

  34. frequency • Attacks • per hour • per day • per month • Per year

  35. Seizures’ Pattern • Q StatusEpilepticus Versus AbundantAttacks

  36. Seizureswork up • 1st Key • Question • Is • it • a • seizure ?

  37. Seizureswork up • 1st Key • Question • Is • it • a • seizure ?

  38. Seizureswork up • 1st Key • Question • Is • it • a • seizure ?

  39. Seizureswork up • 1st Key • Question • Is • it • a • seizure ?

  40. Seizureswork up • 2nd Key • Question • Is it • epileptic • or • non • epileptic • ?

  41. Seizureswork up • 2nd Key • Question • Is it • epileptic • or • non • epileptic • ?

  42. Seizureswork up • 3rd Key • Question • which • Type • of • epilepsy • ?

  43. Seizureswork up • 3rd Key • Question • which • Type • of • epilepsy • ?

  44. Seizureswork up • 3rd Key • Question • which • Type • of • epilepsy • ?

  45. Seizureswork up • 3rd Key • Question • which • Type • of • epilepsy • ?

  46. Seizureswork up • 3rd Key • Question • which • Type • of • epilepsy • ?

  47. Seizureswork up • 3rd Key • Question • which • Type • of • epilepsy • ?

More Related