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Epilepsy - Coggle Diagram
Epilepsy
Complications
Falling
drowning
Car accidents
Pregnancy complications
Emotional health
Status epilepticus
Continuous or frequent seizures
death
brain damage
Sudden unexpected death in epilepsy (SUDEP)
Risk factors
Age - children and older adults
Family history
Stroke and vascular disease (brain damage)
Dementia
Brain infections
seizures in childhood
Definition
CNS disorder
abnormal brain activity
causing seizures or unusual behaviour
may cause loss of awareness
2 unprovoked seizures for diagnosis
Signs and sumptoms
temporary confusion
staring spell
uncontrolled jerkig
loss of consciousness or awareness
psychic symptoms - fear, anxiety or deja vu
Prevalence
5-10 cases per 1,000
c. 400K in England
2/3rds controlled satisfactorily with AEDs
Incidence
50 per 100,000 per annum
Types
Focal
w/o loss of consciousness
w impaired awareness
Generalised
Absence (petit mal)
Tonic - stiffening
Atonic - loss of muscle control
Clonic - repeated rythmic jerking, esp neck, face and arms
myoclonic - sudden brief jerks of limbs
Tonic-clonic (grand mal)
NICE Clinical Guideline CG137
drug of choice
generalised or unclassified
sodium valproaae
focal
lamotrigine
SANAD trial