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Seizure types
(generalised seizures)
An internationally accepted
system of classification separates seizures into two groups -
"generalised" and "partial" (also called focal). The seizures
associated with MAE are generalised. Generalised seizures affect
the whole brain instantly, not just one part, and they alter
consciousness. There is no warning.
|
Seizure types seen in
MAE |
Cases |
|
Myoclonic and/or myoclonic-astatic |
100% |
|
Absences |
62% |
|
Febrile convulsions (with fever) |
28% |
|
Generalised tonic-clonic |
75% |
|
-
at onset |
34% |
|
-
during course |
41% |
|
Non-convulsive status epilepticus |
30% |
|
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Generalised seizures come
in two sizes; large and small or convulsive and non-convulsive.
Non-convulsive refers to alterations of consciousness without
jerking movements. Convulsive means that there are muscle
movements like jerking or stiffening.
MAE is a complex
seizure disorder that presents as a mixed bag of the
generalised seizure types. The myoclonic-astatic
seizure (also called drop seizure or drop attack) is the core
seizure type associated. All children with MAE will experience
either myoclonic or myoclonic-astatic seizures - or both - but it is common
for them to experience other generalised events including
absence, atypical absence, myoclonic, tonic-clonic, episodes of
non-convulsive status epilepticus (NCSE) and, in rare cases,
tonic seizures.¨








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