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* Focal vs generalized seizure? UW is confusing me
 #844828  
  dream250 - 10/09/17 19:09
 
  In UW it says that automatism which is chewing, sucking, or swallowing movements during seizure is due to both hemisphere involvement, but then they say it's part of focal seizure with impaired consciousness....

But we know Focal seizure is due to one hemisphere involvement not both. And if there's conscious impaired then it is either complex or generalized seizure NOT FOCAL.

This is confusing me so much. I was thinking if they have both hemisphere involved in seizure then it would be Genralize siezure.

question UW ID: 2280

Please clear my confusion... :(((
 
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* Re:Focal vs generalized seizure? UW is confusing m
#3349985
  cardio69 - 10/10/17 18:08
 
  Try to post complete pic/Q

Focal seizure may spread -> involve both hemispheres, mimicking an ATYPICAL GENERALIZED one typical. 4TR you should make classification, Dx & Tx such attacks still regarded as “focal seizures”

Here the best path you can take. Are seizures GENERALIZED OR PARTIAL? -> IF Partial -> Is consciousness impaired? IF YES-> COMPLEX partial seizures. IF NO -> Simple partial. In both case you treat* with Phenytoin & CARBA are DOC

If Generalized -> you Q/are they convulsive? If YES-> Tonic/clonic or myoclonic (then you tx*) If NO-> absence seizures -> Tx Ethosuximide or Valporic would be on your menu)

Follow what I just preach, you not gone mix it up next time.
GL
 
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* Re:Focal vs generalized seizure? UW is confusing m
#3350127
  dream250 - 10/11/17 15:55
 
  Thank you Cardio for understandable info, that clears up my question whether it's partial or complex. I guess I shouldn't rely on automatisim to differentiate between partial or complex, as it can be in both.  
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