Description A complex partial s...
Description
A complex partial seizure is related to an abnormal discharge of electricity in the brain. Normally, electrical signals in the brain flow in regular controlled pathways. In a complex partial seizure, the normal electrical pathways are disrupted, resulting in an abnormal discharge of electricity in an area of the brain (temporal lobe). Complex partial seizures often begin with an aura. During the seizure, the person loses awareness and may demonstrate unusual behavior.
Symptoms
The aura of a complex partial seizures produces symptoms that may include strange smells, auditory hallucinations (buzzing, voices), visual illusions, deja vu, anxiety, rapid heart rate, vertigo and sweating. The symptoms of the seizure itself may include repetitive movements (raising one arm, picking at the air or clothes, eye blinking), chewing, lip smacking, staring motionlessly and dilated pupils.
Tests
Common tests used for diagnosis and treatment
Workup:
A complete history and physical exam will be performed. The physical exam will focus on the nervous system of the body. Blood tests will be performed and the brain will be imaged by either a CT scan or MRI. Ultimately, an EEG will be performed to see if any areas of the brain are conducting electricity abnormally.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electroencephalogram (EEG), Electrocardiogram (EKG), Magnetic resonance imaging (MRI), Urine toxicology screen
Specialists:
Neurosurgery, Neurology, Pediatric Neurology, Pediatric Neurosurgery
Workup:
A complete history and physical exam will be performed. The physical exam will focus on the nervous system of the body. Blood tests will be performed and the brain will be imaged by either a CT scan or MRI. Ultimately, an EEG will be performed to see if any areas of the brain are conducting electricity abnormally.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electroencephalogram (EEG), Electrocardiogram (EKG), Magnetic resonance imaging (MRI), Urine toxicology screen
Specialists:
Neurosurgery, Neurology, Pediatric Neurology, Pediatric Neurosurgery
Treatment
A variety of medicines are used to treat complex partial seizures. Some common medicines are carbamazepine (Tegretol), phenytoin (Dilantin), valproate (Depakote), lamotrigine (Lamictal), oxcarbazepine (Trileptal), gabapentin (Neurontin) and topiramate (Topamax). Vagus nerve stimulation (VNS) may be considered in individuals over the age of twelve. In severe cases, a temporal lobectomy (surgical removal of the area of the brain where the seizure starts) may be considered.