PARTIAL (OR FOCAL SEIZURES)
المؤلف:
DEBRA FEARNS
المصدر:
Caring for People with Learning Disabilities
الجزء والصفحة:
P98-C6
2025-10-15
231
PARTIAL (OR FOCAL SEIZURES)
Simple partial
In this instance, the person’s consciousness is not impaired, and seizures are usually confined to rhythmical twitching of one limb, or part of a limb, or to unusual tastes or sensations such as pins and needles in a distinct part of the body. Sometimes, they may also be referred to as a ‘warnings’ or ‘auras’, as they may develop into other sorts of seizures.
Complex partial
The person’s consciousness is affected. Seizures may then be characterized by a change in awareness, as well as ‘semi-purposive’ movements, such as fiddling with clothes or nearby objects.
Status epilepticus
This has been defined as a condition in which epileptic activity persists for over 30 minutes’ duration. This is a medical emergency, and requires immediate intervention. Emergency treatment should, however, be started once a seizure has persisted, or there are serial seizures for more than 5 minutes. Management is as follows:
• Call the emergency services.
• Secure airway.
• Give oxygen (if possible).
• Assess cardiac and respiratory function.
• Give the person their emergency AED, e.g. rectal diazepam.
• Continually monitor the person’s condition.
(Clinical Effectiveness Group 2003)
Stokes et al. (2004) have published guidelines for treating status epilepticus in adults and children, primarily to improve the treatment of people in status epilepticus, once admitted to hospital.
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