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Medical Forum / Diseases and Disorders / Epilepsy / September 2006

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type of long seizure?

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flopper - 25 Sep 2006 16:44 GMT
Not long ago I had a rather long seizure. About a day & a half later,
when I came to the conclusion it was not gonna stop I was hauled to the
hospital. Unlike my "normal" flops I was some what "with it" during
this time. I first thought it might be a stroke when the arm & leg on
one side was not working. It was dead weight. I came to the conclusion
it was not a stoke when I was thinking somewhat clear. I was in & out
most of the day. The leg was pretty much worthless most of the day &
the following day, although not as bad. During the evening I had the
leg doing the spasm ordeal.
I guess my question is was that classified as an epilepsia partials
continua or just a statis epilepticus or neither?

Thanks!
partials - 25 Sep 2006 18:40 GMT
> Not long ago I had a rather long seizure. About a day & a half later,
> when I came to the conclusion it was not gonna stop I was hauled to the
[quoted text clipped - 7 lines]
> I guess my question is was that classified as an epilepsia partials
> continua or just a statis epilepticus or neither?

It looks like both are correct, which is probably what you were thinking. The
following information from the website below is the rationale for saying that.

They start by saying:
"Status epilepticus as usually defined, is when there are repeated tonic-clonic
fits without recovery of consciousness in between. However, any type of seizure
disorder can become continuous and the concept of status epilepticus has in the
past been too narrowly restricted to convulsive status. Non-convulsive status
lasting hours or days complicates many of the syndromes responsible for
intractable epilepsy in childhood."

So they choose to expand the meaning of "Status epilepticus" and go on to say:
A) Convulsive status epilepticus
* Partial
          o Simple partial (Jacksonian status or epilepsia partials continua)

The article itself deals mainly with childhood epilepsy, but I would think those
definitions should be valid for all forms, childhood or not. The article is at:
http://www.hkjpaed.org/details.asp?id=462&show=1234 and a search on "status"
will take you directly to the right part.

So you are right.
Status epilepticus & epilepsia partials continua
howdydave - 26 Sep 2006 20:04 GMT
> > Not long ago I had a rather long seizure. About a day & a half later,
> > when I came to the conclusion it was not gonna stop I was hauled to the
[quoted text clipped - 31 lines]
> So you are right.
> Status epilepticus & epilepsia partials continua

Howdy!

I would like to add that status epilepticus is not restricted
to tonic-clonic seizures alone.

Any type of seizure that occurs in fairly rapid succession
may be considered status epilepticus.

The type I am most aware of is Simple Partial status seizures.
I will have an SP and within a minute or so of it's ending, I
will have another one -- and another, and another.

I have a special medication (Lorazapam) that I stick
under my tongue when this happens.

Dave
howdydave - 26 Sep 2006 20:11 GMT
> > Not long ago I had a rather long seizure. About a day & a half later,
> > when I came to the conclusion it was not gonna stop I was hauled to the
[quoted text clipped - 31 lines]
> So you are right.
> Status epilepticus & epilepsia partials continua

Howdy!

My neuro has used the term "Status Epilepticus"
for any type of seizure that reoccurs in rapid succession.
(Even saw it on the medical report when I was in hospital
for long term monitoring.)

Any type of seizure that occurs in fairly rapid succession
may be considered status epilepticus. I suppose that
it is all a matter of semantics. Then again... he may
call mine status seizures because my partials do not
blossom into generalized seizures.

The type I am most aware of is Simple Partial status seizures.
I will have an SP and within a minute or so of it's ending, I
will have another one -- and another, and another.

I have a special medication (Lorazapam) that I stick
under my tongue when this happens.

Dave

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