You are caring for a child who has a seizure that begins with tonic contractions of the fingers of the left hand. You notice the spasms progressing into tonic/clonic movements that proceed up the muscles of the left side of the body
Which of the following types of seizures will you report that this child experienced? a. Jacksonian c. sylvian
b. Rolandic d. complex partial
A
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A Correct. Jacksonian seizures are motor episodes that begin with tonic contractions of either the fingers of one hand, toes of one foot, or one side of the face. The spasms progress into tonic/clonic movements that extend up adjacent muscles of the affected extremity or side of the body.
B Incorrect. These physical presentations are not consistent with Rolandic or sylvian seizures, which are manifested as tonic/clonic movements of the face with increased salivation and arrested speech that often occurs during sleep.
C Incorrect. These physical presentations are not consistent with Rolandic or sylvian seizures, which are manifested as tonic/clonic movements of the face with increased salivation and arrested speech that often occurs during sleep.
D Incorrect. Complex partial seizures are characterized by a change in mental status, followed by purposeless behaviors or assuming an unusual posture.
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