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Tarun Prudvi B MBBS IV year. Classification, Clinical features, Pathophysiolo gy Of EPILEPSY

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Tarun Prudvi BMBBS IV year.

Classification,Clinical features,Pathophysiology

Of

EPILEPSY

Classification

Tonic-clonic seizure

Focal partial seizure

Pathophysiology

Infantile spasmAGE GROUP: 3 mnth -1 YEARS.

MIXED (M.C).

Salaam spells, developmental retardation.

Poor prognosis.EEG: HYPSARRHYTHMIA.

CHILDHOOD SEIZURESBENIGNINTERMEDIATECATASTROPHIC2- 12 YEARS

BENIGNBenign Rolandic epilepsyAGE GROUP: 4-10 YEARS.

SIMPLE PARTIAL SEIZURE. USUALLY DURING SLEEP.

ASS W/ ABNORMAL MOVEMENTS OF TONGUE AND FACE.

SECONDARY GENERALISED.

EEG: CENTRO-TEMPORAL SPIKES.

BENIGNBenign Occipital epilepsyAny type seizure, no clear clinical course w/ visual aura.

EEG: OCCIPITAL SPIKE WAVES

4-10 years. NEUROLOGICALLY NORMAL.

EEG: CLASSIC 3Hz WAVE SPIKES.

MEDICATION MAY BE UNSUCCESSFULOFTEN W/ COAGNITIVE DISORDERS/ LEARNING PROBLEMS.

HYPERVENTILATION TEST.INTERMEDIATEChildhood absence epilepsy

Childhood absence epilepsy

Same as absence seizure. But ass w/ strong detrusor contraction.

Frequent.

MEDICATION MAY BE UNSUCCESSFULOFTEN W/ COAGNITIVE DISORDERS/ LEARNING PROBLEMS.

CHILDREN CONSTANTLY WET.INTERMEDIATEMicturational absence

Same as absence seizure.

CHILD STOPS SUDDENLY, ARMS EXTENDED & RATCHET UPWARD WITH JERKING MOTION.

EEG: 3Hz spike wave

MEDICATION MAY BE UNSUCCESSFUL, VERY RESISTENT.OFTEN W/ COAGNITIVE DISORDERS/ LEARNING PROBLEMS.

INTERMEDIATEMyoclonic absence

Myoclonic absence seizure

Marked eyelid and upper face jerky movements.

Very resistant to Rx.INTERMEDIATEAbsence w/ eyelid myoclonus

Absence w/ eyelid myoclonus

CRYPTOGENIC PARTIAL SEIZURESTRUE BENIGN.

NORMAL INTELIGENCE.

CANNOT BE CLASSIFIED AS ANYOTHER BENIGN CONDITION.

NO TREATMENT IS USUALLY REQUIRED

CONTINUES SPIKE -WAVE IN SLOW SLEEP CATASTROPHICRESTRICTED TO CHILDHOOD USUALLY.

PARTIAL SEIZURE + COGNITIVE DETIORIATION

EEG: SPIKES WAVES DURING SLOW WAVE SLEEP.

THIS MAY PROLONG TO MANY YEARS OR STOPS ABRUPTLY.

LANDAU-KLEFFNER SYNDROMECATASTROPHIC1-8 YEARS. PREVIOUSLY NORMAL.

SERIOUS LANGUAGE DETERIORATION, BEHAVIOUR DETRIMENT.

FOCAL OR GENERALIZED SEIZURES. (MIXED GENERALISED SEIZURES)

EEG: HIGH FREQUENCY, HIGH SPIKES.

Lennox Gastaut syndromeCATASTROPHICAKINETIC SEIZURES + MENTAL HANDICAP + SLOW GENERALISED SPIKES ON EEG

NON-CONVULSIVE STATUS CHILD NON RESPONSIVE, DOESNT PLAY, INTERACT.

Lennox Gastaut syndrome

MYOCLONIC ASTATIC SEIZURESCATASTROPHICDROP ATTACKS.

IF SEVERE RESEMBLE LGS

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