Generalized epilepsy
| Generalized epilepsy | |
|---|---|
| Other names | Primary generalized epilepsy, idiopathic epilepsy |
| Generalized 3 Hz spike-and-wave discharges on an electroencephalogram | |
| Specialty | Neurology |
Generalized epilepsy is a form of epilepsy characterized by generalized seizures that occur with no obvious cause. Generalized seizures, as opposed to focal seizures, are a type of seizure that manifests as impaired consciousness, bilateral motor findings (including spasms, stiffening, jerking, contractions, or loss of muscle tone) or both. Generalized seizures also differ from focal seizures since they originate on both sides (hemispheres) of the brain and distort the electrical activity of the whole or a larger portion of the brain. These electrical findings are commonly visualized on electroencephalography (EEG) as part of diagnosis.[1]
Generalized epilepsy is a type of primary epilepsy because the disorder is the originally diagnosed condition, as opposed to secondary epilepsy, which occurs as a symptom of a diagnosed illness.[1]
Generalized epilepsy is usually diagnosed in childhood and can be caused by a number of underlying factors including dysfunctional neuronal networks, genetics, or brain trauma.[2]
Generalized epilepsy can be broken down into six main subcategories of seizure types: absence seizures, myoclonic seizures, clonic seizures, tonic seizures, tonic-clonic seizures, and atonic seizures.[3] Generalized epilepsy can also be a sign of an underlying seizure syndrome. Generalized seizures are most commonly treated with anti-epileptic medications and in rare cases surgical intervention.[4]
- ^ a b Berry RB (2012-01-01), Berry RB (ed.), "Chapter 27 - Clinical Electroencephalography and Nocturnal Epilepsy", Fundamentals of Sleep Medicine, Saint Louis: W.B. Saunders, pp. 545–566, doi:10.1016/B978-1-4377-0326-9.00027-0, ISBN 978-1-4377-0326-9, retrieved 2025-03-12
- ^ Devinsky O, Elder C, Sivathamboo S, Scheffer IE, Koepp MJ (February 2024). "Idiopathic Generalized Epilepsy: Misunderstandings, Challenges, and Opportunities". Neurology. 102 (3): e208076. doi:10.1212/WNL.0000000000208076. PMC 11097769. PMID 38165295.
- ^ Abou-Khalil BW, Gallagher MJ, Macdonald RL (2022). "Chapter 100: Epilepsies". In Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, Bradley WG (eds.). Bradley and Daroff's neurology in clinical practice (Eighth ed.). Edinburgh: Elsevier. pp. 1614–1663. ISBN 978-0-323-64261-3. OCLC 1230944341.
- ^ Chu H, Zhang X, Shi J, Zhou Z, Yang X (October 2023). "Antiseizure medications for idiopathic generalized epilepsies: a systematic review and network meta-analysis". Journal of Neurology. 270 (10): 4713–4728. doi:10.1007/s00415-023-11834-8. PMC 10511599. PMID 37378757.