What are the manifestations of clonic seizures?

summary

Clonic seizures are only seen in infants and young children. They are characterized by repeated paroxysmal twitch of the whole body muscles without ankylosis. They are often caused by conscious disturbance and muscle relaxation at the beginning. What are the manifestations of clonic seizures? Next, I'd like to share my views with you.

What are the manifestations of clonic seizures?

First, repetitive clonic tic tic with loss of consciousness, without ankylosis. Bilateral symmetrical or mainly one limb twitch with variable amplitude, frequency and distribution is the characteristic of infantile attack, lasting for 1 to several minutes. The changes of EEG were lack of specificity, such as fast activity, slow wave and irregular spike slow wave.

Second: limb twitch, extension, flexion can be, the range of action is different, performance for the whole body or a limb shiver, upper limb shaking can be in the hands of the object thrown out, head twitch performance for a hard point or necking. Electroencephalogram showed atypical spike and slow waves with asymmetry on both sides, 2-2.5 times / s. each lead appeared at the same time or only in a few leads. It could be paroxysmal or scattered when it was not synchronized, and could not be induced by hyperventilation.

Third: sometimes it is multi spike slow wave. It is difficult to treat. Nitrodiazepam or clonazepam is the first choice. Phenobarbital can be added when necessary. Sodium valproate also has certain curative effect. Mental development is affected.

matters needing attention

1. To protect the tongue, the tongue depressor wrapped with gauze should be placed between the upper and lower molars in case of aural symptoms or mouth opening, so as to prevent the tongue from biting and falling back; 2. In case of aura, lie on your back nearby and fall down to prevent head injury; 3. In ankylosis stage, the patient's occipital part was supported with one hand to prevent fracture and dislocation caused by neck hyperextension; 4. Head to one side to prevent respiratory obstruction or aspiration pneumonia;