What are the Focal(partial) strokes?
Simple
Complex
Secondary generalized tonic-clonic
Focal status epilepticus
What is AURA?
Focal seizure Isolated or precede generalized seizure Déjà vu Fear Smell Smoke Wet dog An aura is a seizure and should be treated as a breakthrough seizure.
How long does an aura last?
15-45 seconds not minutes
What is odds paralysis?
Post ictal weakness following focal seizure that last minutes or hours Weakness Numbness Visual field defect Aphasia
What is jacksonian march?
Focal seizure affecting motor strip
Starts in hand, progresses upward into arm
moves up the motor homunculus
What is Psychogenic nonepileptic seizure (PNES?
Features Writhing, thrashing, pelvic thrusts, arched back, or rolling from side to side Forced eye closure >1 min No post ictal confusion/fatigue/headache History of abuse Psychiatric history