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epilepsy.
• It is a sudden alterations in normal brain activity that cause distinct
changes in behavior and body function. They are thought to result from
abnormal, recurrent, uncontrolled electric discharges of neurons in the
brain.
• Pathophysiology of seizures is poorly understood but seems to be
related to metabolic and electrochemical factors at the cellular level.
• Predisposing factors include head or brain trauma, tumors, cranial
surgery, metabolic disorders (hypocalcemia, hypoglycemia or
hyperglycemia, hyponatremia, anoxia); central nervous system
infection; circulating disorders; drug toxicity; drug withdrawal states
(alcohol, barbiturates); and congenital neurodegenerative disorders.
• Seizures are classified as partial or generalized by the origin of the
seizure activity and associated clinical manifestations.
Assessment:
b. Appears to be day dreaming or may roll eyes, nod head, move hands, or
smack lips.
b. Infantile spasms usually disappear by age 4, but child may develop other
types of seizures.
c. Brief, sudden, forceful contractions of the muscles of the trunk, neck, and
extremities.
d. Extensor type – infant extends head, spreads arms out, bend body
backward in “spread eagle” position.
g. Infant may cry out, grunt, grimace, laugh, or appear fearful during an attack.
b. May spread to involve entire limb, other extremities and face on that side,
known as jacksonian seizure.
8. Febrile seizure
Diagnostic Evaluation:
Pharmacologic Interventions:
Surgical Interventions:
1. Surgical treatment of brain tumor or hematoma may relieve seizures
caused by these.
2. Temporal lobectomy, extratemporal resection, corpus callosotomy, or
hemispherectomy may be necessary in medically intractable seizure
disorders.
Nursing Interventions: