Lamictal (Lamotrigine)

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Lamictal (Lamotrigine)
TYPES OF EPILEPTIC SEIZURES: TEMPORAL LOBE SEIZURES (COMPLEX PARTIAL SEIZURES)
EpilepsyThere are three main groups of causes of temporal lobe seizures. The first includes people who have known brain damage from birth, and those who have meningitis, head injuries or other reasons. The second group includes people who have had status epilepticus, possibly associated with febrile convulsions, earlier in their lives. Frequently no cause can be identified (idiopathic).
The temporal lobe contains an area known as the limbic system in which the heart, blood vessels, respiration and gastrointestinal systems are represented in terms of function. This area also deals with memory and smell. When one considers that all these functions are represented in the temporal lobe, it is hardly surprising that the symptoms of temporal lobe epilepsy can be very varied and difficult to diagnose. Hence the term complex partial seizures. Often there are distortions of sensation which may include strange feelings in the stomach, odd smells, hearing voices or music and sometimes there may be visual hallucinations. One of the better known distortions which occurs in temporal lobe seizures is a sensation of familiarity, of having been there before, which is called the deja vu phenomenon. The person will have an abnormal sense of familiarity with a real situation. There may also be disturbances of speech Ђ” not only does the person have difficulty in talking but may make remarks which are quite inappropriate at the time. Certain emotional features such as fear or strangeness may occur, and occasionally giddiness. Other features may occur if the electrical activity spreads from being a partial seizure and becomes secondarily generalised. The person may have a grand mal convulsion. A further complicating feature is that unresponsive staring may occur in temporal lobe epilepsy and this may be confused with true absences (petit mal). In temporal lobe seizures the attacks are more prolonged and may last some minutes; the person may perform familiar actions but in an unusual and repetitive way. This can sometimes be associated with difficult behaviour or confused speech. These repetitive activities are called ‘automatisms’. Such automatisms may also occur in association with absences.
*7/192/2*

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