Saturday, 8 February 2025

Understanding Seizure Classification 🧠

Hey future doctors! 👋 Let's dive into the fascinating world of seizure classification. 🩺✨


Seizures can be classified based on their onset and characteristics. Here's a quick breakdown:

1️⃣ Focal Onset Seizures

  • Aware: Consciousness intact.
  • Impaired Awareness: Consciousness affected.
  • Motor Onset: Involves movement.
  • Non-Motor Onset: No movement.
  • 🧠 May progress to focal to bilateral tonic-clonic seizures.

2️⃣ Generalised Onset:

  • Motor: Includes tonic-clonic seizures.
  • Non-Motor: Includes absence seizures.

3️⃣ Unknown Onset: When the onset is unclear.
4️⃣ Unclassified: Seizures that don't fit into the above categories.

🔑 Key Factors in Classification:

  • Awareness: Is the patient conscious during the seizure?
  • Motor Involvement: Are there movements (e.g., jerking)?

🩺 Tip: Always ask about aura symptoms—they can hint at focal onset!

📌 Risk Factors for Seizures:

  • Genetic predisposition 🧬
  • Brain injuries 🧠
  • Infections (e.g., meningitis) 🦠
  • Stroke 🩸
  • Metabolic imbalances ⚖️
  • Substance abuse 🚬🍷

Knowing these helps with diagnosis & prevention!

🔍 Why Classification Matters:

  • Knowing seizure types helps:
  • Choose the right meds 💊
  • Identify underlying causes 🧠
  • Guide patient education 🗣️
  • 🚨 Did you know carbamazepine can worsen absence seizures?

🤔 Quick Quiz!

A patient has brief lapses in awareness without movement. What seizure type is this?

⬇️ Drop your answers below!

t. Keep learning and stay curious! 📚💡

🤔 Thought Prompt:

How does seizure classification influence your management? Would your treatment plan differ for focal vs generalised onset?

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