What Are The Types Of Generalized Seizures

There is rarely any difficulty in correctly diagnosing generalized tonic-clonic (GTC) seizures (formerly termed grand mal seizures). The only caution is that toddlers with breath-holding attacks and adults and children with syncope may have brief generalized tonic-clonic seizures at the end of the attack.7 Those brief seizures should not be treated with antiepileptic drugs. Some patients may have a simple partial seizure (aura) preceding the loss of consciousness. As previously described, this...

What Complications Can Occur With Convulsive Status Epilepticus

Convulsive SE can cause numerous complications (Table 8.3).9'10 Autonomic changes, which can be severe, include hypertension, tachycardia, arrhythmias, diaphoresis, hyperthermia, and vomiting. Many changes are caused by increased circulating catecholamines. Hyperthermia may result from excessive convulsive muscle contractions as well as from hypothalamic effects. The electrocardiogram (ECG) may show conduction abnormalities or ischemic patterns.11 Autonomic dysfunction and cardiac arrhythmias...