Epilepsy Case Studies

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2. Whilst obtaining an accurate history from the reliable source, I would ask some of the following questions, as provided within the textbook and epilepsy foundation website;
Where did the event occur - while asleep, eating, playing?
What was the childs behaviour like during the event, how were they moving, were they still breathing, did they stop breathing at any point?
How long did the event last – has this occurred previously, if so when?
How did the child appear following the event – how did they act?
Did the event occur following anything – flashing lights, strong smell, fall, fever, anxiety?
These questions would assist in identifying if the event was a seizure or a non epileptic event.

There are a number of different types of
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It presents as a symmetrical sudden flexion, extension or mixed flexion-extension of neck, arms, legs and trunk. Majority of infants have some sort of brain disorder prior to the onset of the seizures.
An Absence (petit mal) seizure involves brief, sudden cessation of attention with abrupt onset and offset. The child may experience a number of the within a day.
Clonic seizures presents with rhythmical jerking movements of parts or the whole body. These rare seizures many occur prior to a tonic-clonic seizure.
Tonic seizures involves sudden stiffness of the muscles in the body, arms, or legs. Cyanosis may occur with stiffening of the chest muscles.
Tonic-Clonic (grand mal) is a common seizure associated with an aura. It presents with a loss of consciousness (which may occur following a piercing cry) and the entire body experiences violent tonic contractions followed by rhythmic clonic contractions. Loss of sphincter control is also common. Children aged 3 months to 6 years may experience tonic-clonic seizures when they have a high fever, these are called febrile seizures.
Myoclonic seizures involve the motor cortex of the brain. The present as sudden, brief, muscle jerks involving a muscle or the whole

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