What are seizures?
By definition, a seizure is an uncontrolled, excessive and haphazard neuronal activity of the brain. Seizures are commonly known as convulsions and almost always associated with epilepsy. Seizure is however a very vast term with many forms, manifestations and of course diverse consequences and complications.
Classification and clinical features of seizures
Seizures are of many types as mentioned earlier and their classification is mostly based upon their clinical features. The underlying pathology of each kind of seizure may differ obviously because of their origin or etiology.
- Absence seizures
Absence seizures were previously known as petit mal seizures. It is a type of seizures in which the patient and his attendants are unable to differentiate if the person is just lost in thoughts or has undergone seizure state.
- Tonic-clonic seizures
They are mostly considered as the most common and actual form of seizures in which contraction and then anextension of limbs occurs associated with other symptoms.
- Myoclonic seizures
They are also a form of generalized seizures and involve abrupt movements and jerks of the muscles or groups. They are also very common and usually do not involve loss of consciousness like tonic or clonic seizures.
- Focal seizures
They are also called as partial seizures. In focal seizures, only a certain part of the brain is involved and results in seizures of that specific area. Awareness of the affected individual may or may not be sustained. Focal seizures are followed by any sort of aura, any sensory aura and patient may also show loss of orientation.
Causes of seizures
There are multiple causes of seizures and their management starts with discovering the exact etiology of seizures. Without having proper knowledge of what could have caused them, a doctor cannot treat seizures. And if they are not treated properly and in time, they can lead to permanent brain damage leading to very poor quality of life or death.
Some of the most common causes of seizures are;
- Birth trauma is one of the most common causes of seizures and ultimately death of the newborn especially in the under developed countries where laboring women are unable to access proper birth attendants and normal child birth is complicated by untrained ladies.
- Infections to central nervous system may also cause seizures
- Febrile seizures are the most common type of seizures in children
- Some metabolic disorders also result in seizures like low blood glucose or dehydration. Besides, low sodium and calcium and high blood urea leads to seizures as well.
For parents of known epileptic or even first time seizures, it is important to keep a record of nature of seizure. This helps a lot in diagnosing and managing the seizures well in time. Especially parents of known epileptic child are counseled about keeping a complete record of seizures and bring it on every hospital visit.
Date, time and duration of onset are very important to note down. Along with this, the muscle group or area involved is also mentioned and parents also have to write any associated loss of consciousness or injury if any.