Monday, June 23, 2014

Learning about Grand Mal Seizures

In my many years as a paramedic I have seen many patients with a plethora of chief complaints.  One thing that stands out is how many people with try to "Fake" a disorder.  I can't explain why any one person would fake a disease, but I can only guess that it has some psychological origin.  The most common disorder that was "Faked" was the seizure.  I can remember one time walking into a young man apartment to find him on the floor flopping like a fish.  I asked out loud what he was doing?  He responded while flopping "I'm having a seizure."  I you know anything about the brain, you would know that during a seizure like the one he claimed to be having, Conversation is not possible.  So I decided to Blog about how you determine a true Grand Mal Seizure.

According to here are some things to know about seizures.

Generalized Tonic-Clonic Epilepsy Seizures (Grand Mal Seizures) – Clinical Presentation

Epilepsy is a chronic cerebral disorder characterized by recurrent and spontaneous seizures that are typically unprovoked and unpredicteble.
An epilepsy seizure represents a transient episode of supratentorial origin, characterized by an abrupt and temporary alteration of cerebral function, due to an abnormal paroxysmal discharge of cerebral neurons caused by cortical hyperexcitability. According to The International Classification of Seizures, epilepsy seizures are divided into partial seizures ( focal or localization-related seizures) and generalized seizures.
Partial seizures are subdivided into simple partial seizures in which there is no loss of consciousness and into complex partial seizures which are always associated with loss of consciousness. Partial seizures are the result of an abnormal paroxysmal discharge of cerebral neurons within a particular brain region and they manifest focal symptoms an may progress to generalized seizures.
Generalized seizures are the result of an paroxysmal discharge that probably begins in thalamus and then spreads to other brain structures, but on electroencephalographic (EEG) recordings, they appear to start simultaneously in both cerebral hemispheres. Generalized seizures are always associated with loss of consciousness and generalized symptoms.

Generalized Tonic-Clonic Epilepsy Seizures (Grand Mal Seizures)

Grand mal seizures or primary generalized seizures represent the most frequent form of epilepsy seizures and typically include four phases, out of which the first two phases may be absent, but the third phase is always present. This four phases are represented by prodromal phase, aura, tonico-clonic phase and postictal phase.

Below is a video that shows all 4 stages of a Grand Mal Seizure.