Let’s move on to adult epilepsy.
Most adult onset epilepsy causes are partial onset seizures.
What’s partial mean, please? Focal. How much of the brain? Good, hemisphere.
How many types of partials do we look at or did you look at?
You looked at the simple and you looked at the complex.
With the complex, you could have automatism.
Before we move on tell me about the consciousness, the description?
You have loss and impairment. For focal you’re focusing upon impairment.
Lack of impairment, simple; impairment of consciousness, complex and automatisms.
Most commons cause, idiopathic.
Understand, what particular part of the brain is not susceptible to a focal type of seizure?
It’s the medial temporal lobe. Medial temporal lobe, and that’s a clinical pearl here.
Tumors are much more common cause in adults than would be in children, that’s an important point.
In the elderly, stroke, by far 70% are because of adult epilepsy in the elderly would be stroke,
cerebral vascular accident. It could be trauma, it could be tumor.
Metabolic disturbances, what does that mean to you?
You have maybe liver disease or perhaps kidney disease are frequent causes.
Electrolyte issues such as hypomagnesaemia.
Once again, urinary tract infection perhaps, medication related and from maybe benzo withdrawal, that’s a big point.
If you withdraw from benzo perhaps your patient may present with epilepsy.