|
Epilepsy
|
Primary
Generalized Epilepsy
|
Focal
or Partial
|
| |
Seizure
Features
|
| Auras |
Not
present
|
Present
|
| Prodrome |
Occasionally
present
|
Occasionally
present
|
| Starting
with LOC |
Present
|
Present
|
| Starting
with automatisms |
Not
usually present
|
Present
|
| Prolonged
postical confusion without generalization |
Not
usually present
|
Present
|
| Generalized
tonic-clonic seizure |
Present
|
Present
|
| True
versive head movements |
Not
present
|
Present
|
Focal
motor clonic or
tonic seizures |
Not
usually present
|
Present
|
|
Risk
Factors for Epilepsy
|
| Family
history of seizures |
May
be present
|
Not
usually present
|
| History
of CNS infections, significant head truama, febrile seizures, CNS
tumors, CNS vascular malformation |
Not
usually present
|
May
be present
|
|
Examination
Findings
|
| Neurologic
examination |
Usually
normal
|
May
be abnormal
|
|
Neuroimaging
Findings
|
| Brain
MRI |
Usually
normal
|
May
be abnormal
|
|
EEG
Findings
|
| Generalized
epileptiform activity |
Present
|
Not
present
|
| Focal
epileptiform activity |
Not
present
|
Present
|
| FOOTNOTES:
LOC, loss of consciousness; CNS, central nervous system; MRI, magnetic
resonance imaging; EEG, encephalogram |