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Epilepsy in Young Children: Glossary
Dianne McBrien, MD and Daniel Bonthius, MD, PhD
Peer Review Status: Internally Peer Reviewed
absence seizure
Formerly known as petit mal, absence seizures
typically last 5-10 seconds. During this time, the child stares
vacantly, sometimes with eyelids fluttering, and is unresponsive.
Consciousness is then fully resumed.
atonic seizure
Also known as drop attacks, atonic seizures
present with an abrupt loss of muscle tone. The child may suddenly
fall forward or, if seated, slump forward in the chair. Typically
associated with significant developmental delay.
breath holding spell
Not a seizure but closely resembling one, the breath
holding spell often occurs in young children who are upset. The
child briefly stops breathing, and may turn pale or blue. As in a
true seizure, sometimes jerking movements of the arms and legs
occur.
complex partial seizure
A partial seizure, but always associated with some
impairment of consciousness. Hallucinations are common.
cytomegalovirus (CMV)
A virus that may be transmitted from a pregnant woman to
her fetus; may cause brain damage and, in some cases, seizures.
EEG
An EEG is typically part of the evaluation of a young
child referred for seizures. It provides a record of electrical
activity in the brain.
encephalitis
Infection of the brain.
epilepsy
Recurrent seizures in the absence of any provoking
factors, such as infection, low blood sugar, or poisoning.
febrile seizure
Seizures that are associated with fever, but not provoked
by encephalitis, meningitis, or other known factors.
generalized seizure
Seizures that are typically associated with loss of
consciousness; caused by abnormal electrical discharge that
involves the entire brain.
gyri
Folds on brain's cerebral cortex, or outer layer.
hemispherectomy
Surgical removal of virtually half the brain; sometimes
performed in cases of intractable epilepsy.
infantile spasms
(West's syndrome)
Quick, jackknifing spasms of head, trunk and extremities.
Typically associated with significant developmental delay.
ketone
Blood chemical formed in the liver when the body is
deprived of carbohydrates; may raise seizure threshold to help
prevent seizures.
meningitis
Infection of the membranes covering the brain and spinal
cord.
myoclonic seizure
A single or multiple brief, irregular muscular
contraction of trunk or extremities; sometimes accompanied by
brief loss of consciousness.
neutropenia
Abnormally low white blood cell count; can be associated
with severe infection. Rarely, a side effect of carbamazepine.
partial seizure
Seizure in which the abnormal electrical discharge is
limited to part of the brain.
seizure
Abnormal electrical activity in all or part of the brain,
associated with symptoms such as altered consciousness,
involuntary movements, hallucinations, or changes in emotion and
behavior.
shaken baby syndrome
Developmental delay caused by brain damage that occurs
when a young infant is forcefully shaken or tossed.
simple partial seizure
Partial seizure without loss of consciousness.
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