Manual of Child Neurology: Problem Based Approach to Common Disorders

Indexed in: Scopus, EBSCO.

Since the last century, remarkable advances at both the basic and clinical levels have considerably improved our ability to evaluate and treat children with neurological disorders. Many cases seen by ...
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Seizure Semiology

Pp. 62-71 (10)

Mohammed M. S. Jan

Abstract

The diagnosis of epilepsy depends upon a number of factors, particularly detailed and accurate seizure history, or semiology. Other diagnostic data, consisting of electroencephalography (EEG), videomonitoring of the seizures, and magnetic resonance imaging (MRI), are important in any comprehensive epilepsy program, particularly with respect to lateralizing and localizing the seizure focus, if such a focus exists, and with respect to determining the type of seizure or seizure syndrome. The aim of this chapter is to present a survey of important semiologic characteristics of various seizures that provide the historian with observations, which help to lateralize and localize epileptic zones. Clinical semiology is the starting point of understanding a seizure disorder and making the diagnosis of epilepsy. While it may not provide unequivocal evidence of localization of the epileptic focus, nevertheless it usually directs subsequent investigations, whose concordance is necessary for the ultimate localization.

Keywords:

Seizure, Epilepsy, Preictal, Ictus, Postictal, Aura, Occipital, Semiology, Conciousness, Awareness, Frontal, Temporal, Parietal.

Affiliation:

Professor & Consultant of Pediatric Neurology Department of Pediatrics Faculty of Medicine King Abdulaziz University Jeddah Kingdom of Saudi Arabia