Partial Seizures

When the seizure begins in a localized area of the brain, it is defined as partial. There are three types of partial seizures in the current classification system (Fig. 30-1):

• Simple: The patient has a sensation or uncontrolled muscle movement of a portion of their body without an alteration in consciousness. The type of sensation or movement is dependent upon the location of seizure in the brain.

• Complex: Although the seizure is localized in a specific area of the brain, like a simple partial seizure, there is an alteration in the patient's level of consciousness.

• Secondarily generalized: The seizure starts as a simple or complex partial seizure and spreads to involve the entire brain. Patients may report a warning or aura, and these are actually the start of the seizure.

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