Một người đàn ông 35 tuổi được chẩn đoán mắc chứng rối loạn cơn động kinh. Không có tiền sử chấn thương hoặc điều kiện y tế. Loại phổ biến nhất của cơn động kinh ở người lớn bị động kinh là gì? ABCD Không có cơn động kinh phức tạp một phần cơn động kinh trương mal động kinh | CLINICAL CASES 133 A 35-year-old man is diagnosed with a seizure disorder. There is no history of trauma or medical condition. What is the most common type of seizure in adults with epilepsy A. Absence seizures B. Complex partial seizures C. Grand mal seizures D. Todd paralysis Answers A. Lip smacking chewing and swallowing are common findings in complex partial seizures. B. Absence seizures are typified by staring off episodes without conscious awareness. B. The most common type of seizure with epilepsy in adults is complex partial seizures. CLINICAL PEARLS Complex partial seizures are the most common form of seizure in adults. The differential of complex partial seizure includes absence seizures and also multiple medical disturbances including transient ischemic attacks. In approximately one-third of women with seizures there is a relationship between seizures and the menstrual cycle and the seizure frequency can double. This is often called catamenial seizure exacerbation or catamenial epilepsy. REFERENCES Bazil CW Morrell MJ Pedley TA. Epilepsy. In Rowland LP ed. Merritt s neurology 11th ed. Philadelphia PA Lippincott Williams Wilkins 2005 990-1014. Murro AM. Complex partial seizures. Available at http NEURO . Accessed March 20 2007. Schacter SC. Epilepsy. In Evans RW ed. Saunders manual of neurologic practice. Philadelphia PA Saunders Elsevier 2003 244-265. This page intentionally left blank CASE 16 A 52-year-old healthy white male is brought to the emergency room ER after he has had a car accident in which he hit the dividing rail. He apparently did not suffer any significant injuries and at the time of the examination was fully awake. On further questioning he reported driving on the highway and then without any warning hit the rail. He immediately stopped the car. His wife who was in the car with him stated that he suddenly stopped responding in the middle of the sentence and the car started to go to the .
