Seizures occur when abnormal synchronous neuronal discharges in the brain cause transient cortical dysfunction.
Generalized seizures involve bilateral cerebral cortex from the seizure...
Seizure activity usually stereotyped
Duration: seconds to minutes, unless status epilepticus develops; status epilepticus may present as focal/generalized convulsions/altered mental status wi...
Ask the patient to maintain a seizure diary.
Note potential triggers, such as stress, sleep deprivation, drug use, discontinuation of alcohol/benzodiazepines, menses.
Most states have restrictions on driving for those with seizure disorders.
Depending on seizure manifestation, may also recommend against activities such as swimmi...
Falco-Walter JJ, Scheffer IE, Fisher RS. The new definition and classification of seizures and epilepsy. Epilepsy Res. 2018;139:73–79. [View Abstract on OvidMedline]
Gavvala JR...
G40.109 Local-rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
G40.209 Local-rel symptc epi w cmplx prt seiz,not ntrct,w/o stat epi
G40.119 Local-rel symptc epi w simple part seiz, ntrc...
Focal or localization-related seizures have previously been referred to as partial seizures.
Focal seizures originate from a discrete focus limited to one hemisphere in the cerebral cor...
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