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Tonic-clonic seizures (previously known as grand mal seizures) are generalized seizures with both tonic (muscle stiffening) and clonic (muscle jerking or spasming) characteristics. These seizures usually last 1-3 minutes, beginning with a tonic phase and followed by a clonic phase, before the person relaxes and slowly regains consciousness.
Epilepsy is a neurological condition involving the brain that makes people more susceptible to having recurrent, unprovoked seizures. It is one of the most common disorders of the nervous system and affects people of all ages, races, and ethnic background.
Seizures / Epilepsy. Complex partial seizures occur when the abnormal electrical activity is confined to one region of the brain. This results in alteration of sensation and/or behavior. This may include uncontrolled movements of one body part, unresponsiveness, staring, facial movements, confusion or, rarely, aggressive behavior.
EEG Laboratory. The EEG Laboratory performs electroencephalographic (EEG) recordings on outpatients and inpatients with seizures, spells, and a variety of other neurological conditions. The EEG, which records brain electrical activity, can show signs of electrical irritability that could indicate seizures and epilepsy.
Seizure Disorders and Epilepsy. When a person has repeated seizures, this condition is called epilepsy. Diagnosis and treatment of these disorders often requires consultation with a neurologist. Highland Hospital and the specialists at Highland Neurology are available to help if you or a family member suffer from seizures or epilepsy.
Have not yet seen a neurologist for the seizure; Other Ways to See a Johns Hopkins Epilepsy Specialist. If these criteria do not apply to you or your child but you still wish to consult with one of our epilepsy doctors, please see Patient Information for details on how to request an appointment.
The Comprehensive Epilepsy Center provides promising options for many adult and pediatric patients with epilepsy. Internationally known for clinical excellence and innovative research, this program was one of the nation's first and has evolved into one of the most active and advanced in the world.
An epilepsy center is a group of health care professionals who specialize in the diagnosis, care, and treatment of people with seizures and epilepsy. Usually led by an epileptologist (a neurologist specializing in epilepsy), the specialized center should also include other health care professionals to meet the diverse needs of people with seizures and their families.
Lennox–Gastaut syndrome (LGS) is a complex, rare, and severe childhood-onset epilepsy. It is characterized by multiple and concurrent seizure types, cognitive dysfunction, and slow spike waves on electroencephalogram (EEG). Typically, it presents in children aged 3–5 years and can persist into adulthood. It has been associated with several gene mutations, perinatal insults, congenital infections, brain tumors/malformations, and genetic disorders such as tuberous sclerosis and West syndrome. The prognosis for LGS is poor with a 5% mortality in childhood and persistent seizures into adulthood (80%–90%). LGS was named for neurologists William G. Lennox (Boston, USA) and Henri Gastaut (Marseille, France). The international LGS Awareness Day is on November 1st.
An aura is a perceptual disturbance experienced by some with migraines or seizures. The aura stage precedes a seizure in epilepsy but can happen at any stage of a migraine. It often manifests as the perception of a strange light, an unpleasant smell, or confusing thoughts or experiences. Some people experience aura without a subsequent migraine or seizure (see silent migraine). Auras vary by individual experience; some people experience smells, lights, or hallucinations. Less known symptoms of the eye include disturbances, where the eyes roll in the back of the head caused by photosensitivity. A sufferer of this type of aura may experience tearfulness of the eyes and uncontrollable sensations of light followed by reduced symptoms after approximately 20 minutes; it is the rarest type of aura. When occurring, auras allow people who have epilepsy time to prevent injury to themselves and/or others. The time between the appearance of the aura and the migraine lasts from a few seconds up to an hour. The aura can stay with a migraine sufferer for the duration of the migraine; depending on the type of aura, it can leave the person disoriented and confused. It is common for migraine sufferers to experience more than one type of aura during the migraine. Most people who have auras have the same type of aura every time. Auras can also be confused with sudden onset of panic, panic attacks or anxiety attacks creating difficulties in diagnosis. The differential diagnosis of patients who experience symptoms of paresthesias, derealization, dizziness, chest pain, tremors, and palpitations can be quite challenging.
An epileptologist is a neurologist who specializes in the treatment of epilepsy. Epileptologists are experts in epileptic seizures and seizure disorders, anticonvulsants, and special situations involving seizures, such as cases in which all treatment intended to stop seizures has failed and epilepsy (especially poorly controlled epilepsy) in pregnant women. Some epileptologists specialize in treatment of epilepsy in children. An epileptologist is not necessary for the treatment of all seizure disorders, and is generally only consulted if seizures do not stop, despite treatment from a regular physician or neurologist.