Table 2 Types of seizure

Partial seizures

Simple (no loss of memory) Sensory Motor




Complex (memory and consciousness impaired) With aura Without aura With automatisms Without automatisms Secondarily generalized

Generalized seizures

Absence - petit mal Tonic-clonic - grand mal Atonic - drop seizures Myoclonic Febrile seizures

Febrile seizures are tonic-clonic convulsions that occur in children aged between 6 months and 5 years, that are provoked by fever and are in most cases benign. Some children can go on to develop a higher incidence of hippocampal sclerosis, a primary cause of idiopathic temporal lobe epilepsy. Febrile seizures are typically treated with phenobarbital. This produces hyperactivity and behavioral and learning problems, leading pediatric neurologists to believe that treatment of febrile seizures is worse than the seizure itself. Status epilepticus

Status epilepticus describes a prolonged seizure.15 Originally described as a series of repeated seizures or seizures lasting longer than 30 min that occur in almost any seizure type, more recent guidelines7 indicate that treatment should begin after 5 min of convulsive seizures. Status epilepticus is associated with a high rate of mortality, 3% in children and 30% in adults, and is defined as a medical emergency, requiring rapid diagnosis and treatment. The probability of developing epilepsy after a episode of acutely precipitated status epilepticus is 41% in a 2-year period after the episide supporting a relationship between the prolonged seizures of status epilepticus and eliptogenesis.9

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