【正文】 ch arrest.? Jacksonian Seizure: If a PMS progresses with sequential involvement of parts of the body that are represented by contiguous cortical areas, it is known as a ______.?Todd Paralysis: Localized paralysis or weakness that may last for minutes or days after a partial motor seizure is called _______.Second: Clinical Manifestations of Epileptic Seizures Partial Motor Seizure:?Involve motor activity from any area of the body. Usually, they involve the limbs, face, or head and sometimes cause speech arrest.? Jacksonian Seizure: If a PMS progresses with sequential involvement of parts of the body that are represented by contiguous cortical areas, it is known as a ______.?Todd Paralysis: Localized paralysis or weakness that may last for minutes or days after a partial motor seizure is called _______.Second: Clinical Manifestations of Epileptic Seizures (used to be called psychomotor seizures) Characteristically, plex partial seizure begin with emotional, psychic, illusory, hallucinatory, or special sensory symptoms. These are followed by clouding or unconsciousness with automatic behavior and amnesia(遺忘） . Complex partial seizure usually begin in the temporal lobe, but may originate from the frontal, parietal, or occipital areas. Complex Partial SeizuresSecond: Clinical Manifestations of Epileptic SeizuresClinical Manifestation: Unconsciousness include confusion or somnolism or Somnambulance, twilight state朦朧狀態(tài) , and is not a. Automatisms are apparently purposeless and mechanical activity, such as picking at clothes, examining near by objects, simply walking about, chewing, swallowing, licking and et al. Complex partial seizure may begin with simple partial seizure, such as emotional, psychic, illusory, hallucinatory, or special sensory symptoms. Complex Partial SeizuresFocal EpIdiopathicSynptomaticBRE, benign childhood occipital epilepsy, P Reading EpFrontal L, parietal L, Occipital L, Temporal L Ep GeneralizedIdiopathicSynptomaticbenign neonatal familial convulsions et alWest S、 LGS et alEarly myoclonic encephalopathy , et alSynptomaticamp。s syndrome et al Specific Syndromes FC、 Oligo Epileptic Status, et alClassification of Epilepsy and Epileptic Syndrome from ILAECryptogenic Epilepsy: Type, Sign, Aetiology, and Anatomy Seizures: Generalized TonicClonic Seizures/ Absence Seizures) Generalized TonicClonic Seizures They occur at some time in the course of epilepsy in most patients with seizures regardless of the patients’s usual clinical pattern. They are divided into two types: ?Primary Generalized TonicClonic Seizure and ?Secondarily Generalized TonicClonic Seizure.Second: Clinical Manifestations of Epileptic Seizures Primary Generalized TonicClonic Seizure(PGE): This is characterized by plete loss of consciousness and falling, and no aura. Secondarily Generalized TonicClonic Seizure(SGS): This is characterized by a partial seizure evolving to a secondarily generalized tonic clonic seizure.Second: Clinical Manifestations of Epileptic Seizures Seizures:? PreConvulsion Phase PGTCS SGTCS? Convulsion Phase (TonicClonic Phase) Tonic Phase Clonic Phase? Recovery PhaseSecond: Clinical Manifestations of Epileptic Seizures Seizures: PreConvulsion PhasePGTCE is frequently preceded by several myoclonic jerks or a brief clonic seizure in bilateral limbs, and then falling as well as loss of consciousness.SGTCS usually evolve from partial seizures, in which signs beginning with sensory symptoms are called “aura” . Clinical Manifestations of Generalized TonicClonic Seizures(Three Phases) Convulsion Phase (TonicClonic Phase)Tonic Phase: As the patient falls, the body stiffens because of genera lized tonic contraction of the axial and limb muscles.Eyes: upward eye deviation and pupillary dilation.Mouth: to be forced closure of the mouth, which sometimes produces oral trauma.“Epileptic cry”: to be caused by forcible expiration against opposed vocal cords, which results from sudden involuntary contraction of the respiratory and laryngeal muscles.Limbs: to be tonic flexion or extension of the axial musculature。Chapter 12. EpilepsyTHE FIRST AFFILIATED HOSPITAL, SUN YETSEN UNIVERSITYPROF. ZHOU LIE MINKEY WORDS :? Epilepsy(癲癇 )? Epileptic Seizure (癲癇發(fā)作 )? Electroencephalograph(EEG,腦電圖)? Epileptiform Discharge(癇性放電 )? Antiepileptic Drugs(抗癲癇藥 ) EPILEPSY The Stress on the Chapter:1. To prehend the epileptic definition.2. To understand and have a good mand of epilepsy with generalized tonicclonic seizure, absence seizure, plex partial seizure and Jacksonian epilepsy. West syndrome and LennoxGastaut syndrome. 3. To understand and have a good mand of epileptic diagnoses 4. To understand and have a good mand of distinguishing between generalized tonicclonic seizure and hysteria, absence seizure and syncope.5. To understand and have a good mand of definition and treatment principle on status epilepsy with generalized tonic clonic seizure.6. To prehend the principle in using antiepileptic drugs.RonaldoVincent van GoghSeizureEpilepsyEpileptic Seizure Epilepsy is characterized by which sudden recurrent and transient disturbances of mental function or movements and sense of the body are resulted from abnormal neuronal discharges