Primary Generalised Epilepsy

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Primary Generalised Epilepsy

• onset often in childhood
• tonic-clonic / grand mal seizures
• Attack
  • aura
    • vague dizziness or irritability
  • epileptic cry
  • loss of consciousness and fall to floor
  • tonic phase - few seconds of muscle spasm
  • clonic phase - repetitive jerks
  • unconscious for 30 mins or so
  • confusion / drowsiness for several hours
• usually controllable with one drug

Treatment

• Sodium Valproate
• Phenytoin
• Carbemazepine
• Lamotrigine (add on therapy)

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