Presentation
A clonal lymphoplasmocytic proliferation, e.g. plasmacytoma, is present in the majority of cases. Here we report on a 19-year-old male who presented with generalized seizures and an enhancing white matter lesion on MRI scans. [ncbi.nlm.nih.gov]
Entire Body System
- Amyloidosis
Abstract Light chain deposition disease (LCDD) is a form of monoclonal immunoglobulin deposition diseases (MIDD) which in contrast to light-chain derived (AL) amyloidosis is characterized by non-congophilic, non-fibrillary monoclonal protein deposits. [ncbi.nlm.nih.gov]
- Progressive Dementia
This case, with primary progressive dementia and late-onset myoclonic epilepsy, differs from previously reported cases. [ncbi.nlm.nih.gov]
Respiratoric
- Loud Snoring
After these series of contractions, there is an extended postictal state where the person is unresponsive and commonly sleeping with loud snoring. [en.wikipedia.org]
Neurologic
- Seizure
For different seizure types, focal to bilateral tonic-clonic seizures (P = 0.020) and myoclonic-atonic seizures (P = 0.002) might correlate with unfavourable outcomes. [ncbi.nlm.nih.gov]
There are 6 types of generalized seizures: Tonic-clonic Myoclonic Tonic Absence Atonic Clonic Tonic-clonic Seizures Tonic-clonic (TON ik KLON ik) seizures are the most common type of generalized seizure. [nationwidechildrens.org]
- Tonic Posturing
RESULTS: The sequence of tonic postures, as well as the sequence of tonic and clonic activity, was variable in SGSs of mesial temporal origin. [ncbi.nlm.nih.gov]
Average seizure is longer than typical absence; onset is less abrupt Diminished postural tone; tonic or myoclonic activity is more frequent than in typical absence seizures: Automatisms are more perservative in atypical absence seizures than in typical [neurodiffdx.com]
- Extrapyramidal Symptoms
Neurological examination only showed mild cerebellar and extrapyramidal symptoms, whereas neuropsychological evaluation disclosed severe cognitive changes consistent with dementia. [ncbi.nlm.nih.gov]
- Neglect
"The Postictal State: A Neglected Entity in the Management of Epilepsy". Epilepsy & Behavior. 1 (1): 52–59. doi:10.1006/ebeh.2000.0023. ISSN 1525-5050. PMID 12609127. ^ "Triggers of Seizures". Epilepsy Foundation. [en.wikipedia.org]
Workup
With these data, the current American College of Emergency Physicians (ACEP) guidelines on the workup of new-onset seizures were applied to determine whether they could safely be used in patients with AIDS. [ncbi.nlm.nih.gov]
The awake EEG of patients with generalized tonic-clonic seizure may be normal; however, certain specific interictal EEG patterns can be distinctive of generalized epilepsy syndromes (see Workup). [emedicine.medscape.com]
EEG
- Generalized Epileptiform Discharges
We describe a patient with generalized seizures who in the same EEG had spindles transforming into generalized epileptiform discharges and generalized epileptiform discharges transforming into spindles. [ncbi.nlm.nih.gov]
Serum
- Arterial Oxygen Saturation Decreased
Arterial oxygen saturation decreased to 75 %. Chin lift was performed and 100 % oxygen was administrated via face mask, which increased saturation to 99 %. Midazolam 2 mg was administrated intravenously to control seizures. [ncbi.nlm.nih.gov]
Other Pathologies
- White Matter Lesions
Here we report on a 19-year-old male who presented with generalized seizures and an enhancing white matter lesion on MRI scans. [ncbi.nlm.nih.gov]
Treatment
OBJECTIVE: To evaluate safety, tolerability, seizure frequency, and regional variations in treatment responses with the AMPA antagonist, perampanel, in a large extension study during up to 3 years of treatment. [ncbi.nlm.nih.gov]
Treatment Correct treatment can help reduce or prevent seizures. In some cases, treatment can help patients to remain free of seizures for the rest of their lives. [cedars-sinai.org]
It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. [dravetsyndromenews.com]
Prognosis
All preoperative evaluation data correlated to generalized seizures and postoperative prognosis were collected and analysed. [ncbi.nlm.nih.gov]
Many types of seizures are described, each attributed to a certain demon or departed spirit and given a prognosis. References Template:WH Template:WS [wikidoc.org]
What is the prognosis of epilepsy? 60% to 70% of people with epilepsy will respond satisfactorily to the first AED used. Prognosis is highly dependent on the cause of epilepsy and seizure type. [aesnet.org]
Confirm a seizure Exclude an underlying condition Differential diagnoses Treatment Acute management First seizure Recurrent seizures Complications Status epilepticus General complications of seizures and epilepsy Prognosis Risk of seizure recurrence [amboss.com]
Implications of Seizure Type Seizure type may suggest a particular treatment, prognosis, restriction of an activity like driving, or an underlying disease process. [mdedge.com]
Etiology
The purpose of this investigation was to determine the relative importance of this medication as the etiology of new-onset seizures relative to other drugs and new-onset seizures in general. The study design was a retrospective case series. [ncbi.nlm.nih.gov]
Etiology Epilepsy Although these seizures are referred to as unprovoked, they may be triggered by certain provocative factors! [amboss.com]
Epidemiology
The Epidemiology of Epilepsy. Neuroepidemiology. 2020;54(2):185-191. [PubMed: 31852003] 5. McGee RE, Sajatovic M, Quarells RC, Johnson EK, Liu H, Spruill TM, Fraser RT, Janevic M, Escoffery C, Thompson NJ. [ncbi.nlm.nih.gov]
Definition References:[1][2][3][4][5] Epidemiology References:[6] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Epidemiology The age-adjusted incidence of epilepsy (ie, recurrent unprovoked seizures) ranges from 24-53 per 100,000 population per year. Approximately 20-25% of cases are classified as generalized seizures. [emedicine.medscape.com]
Shobi Sivathamboo, Piero Perucca, Dennis Velakoulis, Nigel C Jones, Jeremy Goldin, Patrick Kwan, Terence J O’Brien, Sleep-disordered breathing in epilepsy: epidemiology, mechanisms, and treatment, Sleep, 10.1093/sleep/zsy015, 41, 4, (2018). [onlinelibrary.wiley.com]
Seizure Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Seizure from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis [wikidoc.org]
Pathophysiology
Recognition and characterization of individual diurnal seizure patterns offer new diagnostic and therapeutic options, including EEG or long-term video EEG monitoring scheduling, differential (day/night) medication dosing, and a better understanding of pathophysiologic [ncbi.nlm.nih.gov]
The ILAE task force initially was interested in developing an entirely new seizure classification based anatomy, brain networks, or pathophysiology. “But we quickly realized that we just did not know enough about the underlying science,” Dr. [mdedge.com]
International classification of seizure types (1981) This classification is based on observation (clinical and EEG) rather than the underlying pathophysiology or anatomy. [wikidoc.org]
Pathophysiology Generalized epilepsy is thought to be initiated by 3 different mechanisms: Abnormal response of hyperexcitable cortex to initially normal thalamic input Primary subcortical trigger Abnormal cortical innervation from subcortical structures [emedicine.medscape.com]
Prevention
Treatment and Prevention Tonic-clonic seizure treatment is primarily focused on prevention, however, in some situations such as with prolonged seizures, treatment will be needed acutely. [verywellhealth.com]
There’s no specific way to prevent developing epilepsy. If you have epilepsy, following a healthy lifestyle by getting plenty of sleep and eating well can decrease the chances of triggering a seizure. [healthline.com]
Management[edit] For a person experiencing a tonic–clonic seizure, first-aid treatment includes rolling the person over into the recovery position, which can prevent asphyxiation by preventing fluid from entering the lungs.[12] Other general actions to [en.wikipedia.org]
This uses a device to monitor brain activity and respond with electronic stimulation if it detects a seizure is about to take place.[16] Generalized seizure prevention Idiopathic epilepsy can not be prevented. [ada.com]
Sometimes, changing the diet of a child with epilepsy can help prevent seizures. [mountsinai.org]