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[Symptoms accompanying epileptic attacks].

S Nowak

    Neurologia I Neurochirurgia Polska
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This study on grand mal seizures found common involuntary signs like biting and urination. These symptoms often appeared early, with treatment changes, or alcohol use, but were absent in some patients.

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    Area of Science:

    • Neurology
    • Clinical Neuroscience

    Background:

    • Grand mal seizures, a severe form of epilepsy, can present with various autonomic and physical manifestations.
    • Understanding these peri-ictal signs is crucial for accurate diagnosis and patient management.

    Purpose of the Study:

    • To analyze the frequency and characteristics of peri-ictal signs in adult patients with grand mal seizures.
    • To identify factors influencing the occurrence and reporting of these seizure-related events.

    Main Methods:

    • Retrospective analysis of 124 adult patients (aged >16 years) with grand mal seizures.
    • Observation period ranged from 2 to 15 years, documenting specific seizure-associated signs.

    Main Results:

    • Common signs included tongue/oral mucosa biting (55.7%), urinary incontinence (49%), and traumas (20.2%).

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  • These signs were more frequent during initial seizures, post-remission attacks, and with treatment non-adherence or alcohol consumption.
  • 14.5% of patients showed no peri-ictal signs during long-term observation (10-20 years).

    • Conclusions:

    • Peri-ictal signs in grand mal epilepsy are diverse and their occurrence is influenced by treatment status and lifestyle factors.
    • Patient reporting of these signs can be affected by social factors, such as seeking disability benefits or residing in rural areas.