: Seizure Review
Document Summary
Complex- motor and sensory: generalized seizures. Grand mal : tonic portion x 10-20 sec- eye rolling, loss of consciousness, salivation, stiffness; clonic portion x 30 sec- violent jerking, foaming at the mouth, incontinence. Petit mal : f>m, usually ceases @ puberty, brief loc (x5-10 sec), no musculoskeletal involvement, sudden onset, up to x 20-25/day, difficulty paying attention, decreased school performance. Atonic: 4-12 years, loss of muscle tone. Myoclonic: brief muscle contractions, no post-ictal state, symmetrical, management, medications. Monitor drug levels, increase as child grows, monitor side effects, must be weaned cannot abruptly dc: ketogenic diet- ketones inhibit seizure activity. High fat, low protein, low carbs, no simple sugars: vagal nerve stimulation.
