II. Definitions
- Focal Seizure (Partial Seizure)
- Single hemisphere Seizure (contrast with generalized which involves both hemispheres)
- Simple Partial Seizure
- Focal Seizure Without Impairment of Awareness
- No loss of consciousness or mental status change
- Complex Partial Seizure
- Focal Seizure With Impairment of Awareness
- Example: Temporal Lobe Seizure (Psychomotor Seizure)
- Jacksonian March (Jacksonian Seizure)
- Focal Partial Seizure with maintained awareness that generalizes to greater distribution of involvement
- Generalized symptoms may include lip licking, eye movement, neck rotation, repetitive hand movement
- More common in Multiple Sclerosis, older age
III. Types
- Awareness
- Focal Seizure Without Impairment of Awareness (Simple Partial Seizure)
- Focal Seizures with impaired awareness (Complex Partial Seizure)
- Subtypes
- Motor Seizures (focal motor activity)
- Sensory Seizures
- Autonomic Seizures (e.g. sweating)
- Temporal Lobe Seizure (Psychomotor Seizure)
IV. Symptoms
- Focal motor symptoms and somatosensory symptoms
- Spreads to other parts of the body
- Sensory Symptoms
- Visual, auditory, olfactory, or gustatory
- Autonomic symptoms (e.g. sweating)
- Psychological Symptoms (e.g. Temporal Lobe Seizure)
- Altered Level of Consciousness in some episodes
V. Management: Prophylaxis in Children (age <16 years)
- Level A evidence
- Level C evidence
- Level D evidence
VI. Management: Prophylaxis for Younger Adults (age 16 to 60 years)
- Level A evidence
- Level B evidence
- Level C evidence
- Level D evidence
VII. Management: Prophylaxis for Older Adults (age >60 years)
- Level A evidence
- Level C evidence
- Level D evidence
VIII. Management: Prophylaxis - New adjunctive agents (2014)
- Perampanel (Fycompa)
- Eslicarbazepine (Apticom)
IX. References
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Related Studies
Concepts | Disease or Syndrome (T047) |
MSH | D012640 |
SnomedCT | 246529004, 67139004 |
English | JACKSONIAN SEIZURES, Seizure, Jacksonian, Seizure(s) Jacksonian, Seizure (Jacksonian), Jacksonian Seizure, Convulsion Jacksonian, Jacksonian seizures, jacksonian's seizure, jacksonian seizure, jacksonian seizures, Jacksonian seizure, convulsions; jacksonian, jacksonian; convulsions, jacksonian; epileptic, jacksonian; seizures, seizure; jacksonian, Jacksonian seizure, NOS |
Dutch | convulsie van Jacksonse type, Jackson convulsies, Jackson; aanval, Jackson; convulsie, Jackson; epilepsie, aanval; Jackson, convulsie; Jackson, Jackson-aanval |
French | Convulsion jacksonienne, Crises épileptiques jacksoniennes, Crise jacksonienne, CRISE D'EPILEPSIE JACKSONIENNE, Crise Bravais-Jacksonienne |
German | Jackson-Konvulsion, Jackson-Anfaelle, Jackson-Anfälle, JACKSON ANFAELLE |
Italian | Convulsione jacksoniana, Crisi convulsive Jacksoniane, Attacchi jacksoniani |
Portuguese | Crises jecksonianas, Convulsão jacksoniana, Crise Jacksoniana, CONVULSOES JACKSONIANAS |
Spanish | Convulsion jacksoniana, Crisis jacksonianas, Crisis Jacksoniana, CRISIS JACKSONIANAS, convulsión jacksoniana |
Japanese | ジャクソン発作, ジャクソン痙攣, ジャクソンケイレン, ジャクソンホッサ |
Czech | Jacksonská křeč, Jacksonské záchvaty, jacksonské záchvaty |
Hungarian | Jackson-féle görcsroham, Jackson-féle görcsrohamok |
Norwegian | Jackson-anfall |
Ontology: Simple Partial Seizures (C0234974)
Concepts | Disease or Syndrome (T047) |
MSH | D004828 |
SnomedCT | 79348005, 193006008, 117891000119100, 193013008 |
English | SIMPLE PARTIAL SEIZURES, Partial epilep.-consc.OK NOS, Partial epilepsy without impairment of consciousness, Partial epilepsy without impairment of consciousness NOS, Partial epilepsy without mention of impairment of consciousness, Partial epilepsy without mention of impairment of consciousness NOS, Partial epilepsy-conscious OK, Simple part seiz consc not imp, Epilepsy, partial NOS, without impairment of consciousness, Epilepsy, partial, without impairment of consciousness, Simple partial seizures with consciousness preserved, seizure partial (focal) simple, simple partial seizure, simple partial seizure (physical finding), partial simple seizure (diagnosis), partial simple seizure without impairment of consciousness (diagnosis), partial simple seizure, partial simple seizure without impairment of consciousness, Simple Partial Seizures, Simple partial seizures, Partial Seizures, Simple, Consciousness Preserved, Partial Seizures, Simple, Seizures, Simple Partial, Seizures, simple partial, partial seizures simple, Seizure;focal;simple partial, simple partial seizures, Partial seizures, simple, Partial epilepsy without mention of impairment of consciousness (disorder), Simple partial seizure (disorder), Partial epilepsy without mention of impairment of consciousness NOS (disorder), Simple partial seizure, Simple partial seizure, consciousness not impaired, Simple partial seizure, consciousness not impaired (disorder), seizure; epileptic, simple, partial, simple partial seizures; epileptic, Simple partial seizure, consciousness not impaired (finding), simple partial focal seizure, Partial epilepsy, without mention of impairment of consciousness |
Italian | Crisi convulsive semplici parziali, Crisi epilettiche parziali semplici, Epilessia parziale, senza menzione di alterazione della coscienza |
Dutch | partiële epilepsie zonder vermelding van verminderd bewustzijn, partieel insult eenvoudig, aanval; epileptisch, eenvoudig, partieel, eenvoudige partiële aanvallen; epilepsie, eenvoudige partiële insulten, Eenvoudige partiële epilepsie |
French | Epilepsie partielle, sans mention de diminution de la conscience, Crises partielles, simples, Crises partielles simples sans trouble de la conscience, CRISE CONVULS. PARTIELLE SIMPLE, Crise convulsive partielle simple, Crises partielles simples |
German | partielle Anfaelle, einfach, partielle Epilepsie, ohne Erwaehnung unbehandelbarer Epilepsie, Einfache partielle epileptische Anfälle, EPILEPSIE FOKAL, einfache partielle Anfaelle |
Portuguese | Epilepsia parcial sem referência a alteração da consciência, Crises Convulsivas Parciais Simples, CRISES PARCIAIS SIMPLES, Crises parciais simples |
Spanish | Epilepsia parcial sin mención de alteración de la conciencia, epilepsia parcial sin mención de alteración de la conciencia, Crisis Convulsivas Parciales Simples, CRISIS PARCIALES SIMPLES, convulsión parcial simple, epilepsia parcial sin mención de la alteración de la consciencia, SAI (trastorno), epilepsia parcial sin mención de la alteración de la consciencia, SAI, convulsión parcial simple (trastorno), epilepsia parcial sin mención de alteración de la consciencia (trastorno), epilepsia parcial sin mención de alteración de la consciencia, convulsión parcial simple sin alteración de la conciencia, convulsión parcial simple sin alteración de la consciencia, Crisis parciales simples, convulsión parcial simple sin alteración de la consciencia (hallazgo), epilepsia parcial sin mención de alteración de la conciencia (trastorno), convulsión parcial simple sin alteración de la consciencia (trastorno) |
Japanese | 単純部分発作, タンジュンブブンホッサ |
Czech | Parciální jednoduché záchvaty, Parciální epilepsie, bez zmínky o poruše vědomí, Parciální záchvaty, jednoduché |
Hungarian | Partialis epilepsia, tudatkárosodás említése nélkül, Egyszerű partialis görcsrohamok, Partialis görcsrohamok, egyszerű |
Norwegian | Enkle partielle anfall med bevart bevissthet, Enkle partielle anfall |
Ontology: Complex partial seizure with impairment of consciousness (C0270834)
Concepts | Pathologic Function (T046) |
SnomedCT | 4103001 |
English | Complex part seiz,impair consc, partial complex seizure with impairment of consciousness, partial complex seizure with impairment of consciousness (diagnosis), complex partial seizures, complex partial seizure, Complex partial seizures with consciousness impaired, Psychomotor fit, Complex partial seizure, Complex partial seizure with impairment of consciousness (disorder), Complex partial seizure with impairment of consciousness (finding), Complex partial seizure with impairment of consciousness |
Spanish | convulsiones parciales complejas con alteración de la conciencia, convulsiones parciales complejas con alteración de la conciencia (hallazgo), convulsiones parciales complejas con alteración de la conciencia (trastorno) |
Ontology: Seizures, Focal (C0751495)
Definition (NCI_FDA) | Partial seizure. |
Definition (NCI) | A transitory alteration in movement, sensation or autonomic nerve function due to abnormal electric activity in a localized area of the cerebral cortex, usually without change in awareness or alertness. Symptoms vary with different lesion locations and may include but not limited to the motor (e.g. rhythmic muscle contractions in one area of the body), somatosensory and sensory alterations manifested by abnormal numbness, paresthesias or other hallucinations, including several types of aura; autonomic and psychic symptoms, e.g. with changes in speech, thought, personality, mood, sensation of deja vu or hallucinations. |
Definition (CSP) | any seizure due to a lesion in a specific, known area of the cerebral cortex; symptoms vary with different lesion locations. |
Concepts | Sign or Symptom (T184) |
MSH | D012640 |
SnomedCT | 29753000, 363692008, 3485007, 67139004 |
English | CONVULSIONS LOCAL, Focal Seizure, Partial Seizure, partial seizure, focal seizure, partial seizure (physical finding), seizure partial (focal), Convulsions local, Partial seizures NOS, Partial seizures, NOS, Focal Seizures, Seizure, Focal, Seizures, partial, seizure focal partial, seizures partial, focal seizures, partial focal seizures, partial seizures, focal seizure partial, local seizures, partial focal seizure, focal fit, Partial seizure (finding), Local convulsion (disorder), Seizures, focal, FOCAL SEIZURES, SEIZURES, FOCAL, Local convulsion, Partial seizure, Focal seizure, Local seizure, Partial seizures, Partial seizure (disorder), Focal seizure, NOS, Seizures, Focal, Focal fits, Focal seizures |
Italian | Convulsioni localizzate, Crisi epilettiche parziali, Crisi convulsive focali, Crisi epilettiche parziali NAS, Crisi focali |
Dutch | focale convulsies, focale insulten, partieel insult NAO, convulsies lokaal, partieel insult, Insult, focaal |
French | Crise convulsive partielle SAI, Crises focales, CONVULSIONS LOCALISEES, Crises convulsives focales, Convulsions localisées, Crise convulsive partielle |
German | fokale Anfaelle, partielle Anfaelle NNB, Fokale Anfälle, Anfälle, fokale, KONVULSIONEN LOKAL, Konvulsionen lokal, partielle Anfaelle |
Portuguese | Crises focais, Crises parciais NE, Crises Convulsivas Focais, CONVULSOES LOCALIZADAS, Crises parciais, Local de convulsões |
Spanish | Crisis focales, Ataques focales, Crisis parciales NEOM, Crisis Convulsivas Focales, CONVULSIONES FOCALES, convulsión parcial (trastorno), convulsión parcial, convulsiones parciales, convulsiones parciales (trastorno), convulsión focal, convulsiones locales (concepto no activo), convulsiones locales, convulsión parcial (hallazgo), convulsión motora focal, Convulsiones focales, Crisis parciales |
Japanese | 焦点性発作, 局在性痙攣, 部分発作NOS, 部分発作, キョクザイセイケイレン, ブブンホッサNOS, ブブンホッサ, ショウテンセイホッサ |
Czech | Křeče lokální, Parciální záchvaty NOS, Fokální záchvaty, Parciální záchvaty, Fokální křeče, fokální záchvaty, parciální záchvaty |
Hungarian | Partialis görcsrohamok, Partialis görcsrohamok k.m.n., Focalis görcsrohamok, Parciális rohamok, Focalis rohamok |
Norwegian | Fokale anfall |