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Absence seizure: A generalized seizure, usually
lasting less than 20 seconds, characterized by a blank
stare & sometimes blinking, eye rolling or chewing
movements. Can occur many times a day. Often mistaken
for daydreaming. Usually begins in childhood. Outgrown
by approximately 75% of children. Formerly called
petit mal.
Antiepileptic drugs: Medication used to control
seizures. Also called anticonvulsants.
Atonic seizure: A generalized seizure characterized
by sudden loss of muscle tone, causes the head or
body to drop suddenly with falling & potential
injury. Recovery in a few seconds to a minute. Protective
helmets are helpful to protect from injury.Also called
a drop attack.
Aura: A warning period at the beginning of
a seizure. May sense a feeling of fear or doom, or
strange sensations such as an odd smell or taste,
nausea, or palpitations. Actually a simple partial
seizure occurring seconds or minutes before a complex
partial or secondarily generalized tonic-clonic seizure,
or it may occur alone.
Automatism: Purposeless, automatic & involuntary
movements during a seizure, such as chewing, lip-smacking,
picking at clothing or wandering around confused;
may occur during complex partial & absence seizures
.Benign rolandic epilepsy: Epilepsy syndrome
of childhood characterized by partial seizure affecting
the fact, causing drooling & inability to speak,
may be followed by a convulsion. Typically occur at
night and are usually outgrown by age 16. Also called
benign partial epilepsy of childhood.
Catamenial epilepsy: In women, the tendency
for seizures to occur around the time of menstruation
.Clonic seizure: A generalized seizure characterized
by rhythmic jerking movements involving both sides
of the body
.Complex partial seizure: A seizure that affects
only part of the brain, but causes impaired consciousness
or awareness. May be accompanied by automatisms, dazed
behavior, and/or movements or emotional behavior that
seems out of place, unfocused or mechanical. Following
the seizure there will be a period of confusion &
no memory of the incident.
Convulsion: The stiffening or jerking that
accompanies a seizure.
CT or CAT scan: Computed Tomography; a scanning
technique which uses x-rays & computers to produce
images of the structure of the brain to help detect
abnormalities.
EEG: Electroencephalogram; a diagnostic test
which records the brain’s electrical activity or "brain
waves". It does not provide a diagnosis of epilepsy,
but can help distinguish types of seizures, or where
seizures begin in the brain.
Epilepsy: A chronic disorder characterized
by recurrent unprovoked seizures. Also called seizure
disorder.
Epileptologist: A neurologist with specialty
training in epilepsy.
Febrile seizure: A seizure caused by high
fever, common in young children under the age of 5.
Only rarely are they associated with later epilepsy.
Anticonvulsants are not usually needed.
Focal seizure: An older term for partial seizure,
in which the seizure starts in one part of the brain.
Gelastic seizure: Partial seizure characterized
by inappropriate laughter. The laughter may sound
forced, like a a bray, or similar to crying.
Generalized seizure: Seizure that involves
the entire brain and causes tonic & clonic movements
or another type of generalized epilepsy such as atonic,
myoclonic or absence.
Grand mal: An older term for a generalized
tonic-clonic seizure.
Hemispherectomy: Surgical removal of one
side, or hemisphere, of the brain; the operation is
now often modified to remove a portion of the hemisphere
and to disconnect the remaining portions.
Ictal: Referring to the period during a sudden
attack, such as seizure or stroke. A seizure, of whatever
type, is referred to as an ictus.
Idiopathic: Used to describe an epileptic
seizure of unknown cause, as opposed to seizures caused
by an identifiable problem in the brain.
Infantile spasms: Clusters of rapid jerks
followed by stiffening or jackknife movements. Usually
starts in the first year of life & stops by the
age of 4. May be associated with significant developmental
delay & the development of other forms of epilepsy.
It requires prompt diagnosis and treatment with specific
medications.Also known as West syndrome.
Intractable: difficult to alleviate or remedy;
for example, intractable seizures are difficult to
control with the usual antiepileptic drug therapy.
Juvenile myoclonic epilepsy (JME): An epilepsy
syndrome that typically begins at puberty. Characterized
by myoclonic (muscle jerk) seizures and possibly also
absence or tonic-clonic seizures, generally on going
to sleep or awakening. Treatment is usually very effective.
Ketogenic diet: A high fat, low carbohydrate
diet used to contro seizures in children.
Landau-Kleffner syndrome: A rare disorder
beginning between the ages of 3 and 7, characterized
by seizures and the loss of language ability.
Lennox-Gastaut syndrome: A difficult-to-treat
disorder beginning in childhood, characterized by
multiple seizure types, including drop attacks, absence
and tonic-clonic seizures. Mental retardation is common
and often progressive.
MRI scan: A magnetic resonance imaging scan
that creates images of the brain to help detect abnormalities;
unlike CT or Cat scans, MRI scans use no x-rays.
Myoclonic jerk: brief muscle jerk; may be
normal (as one falls asleep) or caused by a seizure
or other disorders
Myoclonic seizure: Sudden brief, shocklike
jerking of muscle groups in the hand, leg, shoulder,
or entire body. May occur as a single seizure or a
cluster of seizures.Often occur in a variety of epilepsy
syndromes.
Partial seizure: A seizure that starts in
one particular part of the brain. The abnormal electrical
activity may remain confined to that area, or may
spread to the entire brain. The function that part
of the brain controls determines the type of behavior
or sensation that will be manifested during the partial
seizure.
PET scan: Positron Emission Tomography; a
diagnostic test that uses a very low and safe does
of a radioactive compound to measure metabolic activity
in the brain; helpful in planning epilepsy surgery
Petit mal seizure: An older term for a "small
seizure", now known as an absence seizure,
which tends to involve staring spells.Photosensitive
epilepsy: A form of reflex epilepsy triggered by flashing
lights, including strobe lights or light shining through
trees or fences.
Post-ictal: The minutes or hours of abnormal
consciousness, confusion or sleepiness after a seizure.
During the post-ictal period, the brain is recovering
from the seizure & returning to normal function.
Progressive Myoclonic Epilepsy: A rare form
of epilepsy, often hereditary, characterized by myoclonic
and other types of seizures and progressive neurological
impairment.
Psychogenic seizure: A behavioral episode
that resembles an epileptic seizure but does not result
from abnormal brain electrical activity. Psychological
in origin, but does not always come from conscious
actions. Also known as pseudo seizures.
Psychomotor seizure: An older term for a complex
partial seizure with automatisms.
Rasmussen’s syndrome: A rare disorder with
frequent or continuous partial seizures and progressive
neurological & intellectual impairment.
Reflex epilepsy: Seizure triggered by something
in the environment, such as flashing lights, certain
types of music or particular odors.
Seizure: A sudden, excessive discharge of
electrical activity in the brain that causes a change
in how a person feels, senses things or behaves.
Simple partial seizure: A seizure that affects
only part of the brain and does not impair consciousness.
Status epilepticus: A prolonged seizure (usually
defined as lasting longer than 30 minutes) or a series
of repeated seizures; a continuous state of seizure
activity. Most common with tonic-clonic, but may occur
in almost any seizure type. Can be life-threatening
and requires immediate emergency care.
Syndrome: A collection of signs and symptoms
that together form a condition with a known outcome,
and which requires special treatment.
Threshold: The brain’s susceptibility to having
a seizure. Antiepileptic drugs raise this threshold
and make a person less likely to have a seizure. In
contrast, lack of sleep, fever, and other factors
can lower the threshold and make seizures more likely.
Tonic seizure: A generalized seizure that
involves stiffening or rigidity of the entire body.
May or may not be loss of consciousness.
Tonic-clonic seizure: Generalized seizure
characterized by loss of consciousness, falling, stiffening
of the body (tonic phase) , then rhythmic jerking
movements or convulsions (clonic phase.) This is the
type of seizure most commonly thought of as epilepsy.
Formerly known as grand mal seizure.
Tuberous sclerosis: a disease in which benign
tumors affect the brain, eyes, skin and internal organs.
It is associated with mental retardation and seizures.
Vagus Nerve Stimulation (VNS): A surgically
implanted battery that sends burst of electrical energy
every few minutes to the vagus nerve. In some cases
it has been effective in decreasing seizure activity.
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