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Atonic seizure
| Field | Value |
|---|---|
| name | Atonic seizure |
| synonyms | Akinetic seizure, astatic seizure |
|
Atonic seizures can occur while standing, walking, or sitting, and are often noticeable by a head drop (relaxing of the neck muscles). Fall injuries may result in impact to the face or head. As with common epileptic occurrences, no first aid is needed post-seizure, except in the instances where falling injuries have occurred. In some cases, a person may become temporarily paralyzed in part of their body. This usually does not last longer than 3 minutes.
Treatment
There is no general treatment for patients with a seizure disorder. Each treatment plan is specifically tailored to the individual patient based on their diagnosis and symptoms. Treatment options may include medical therapy, nerve stimulation, dietary therapy, or surgery, as appropriate. Clinical trials may also be a valuable treatment alternative. Usually, anticonvulsants are given based on other symptoms and / or associated problems. Because the areas of the cerebellum which determine increases and decreases in muscle tone are close together, people experiencing atonic seizures are most likely experiencing myoclonic ones too, at some point. This may play a role in therapy and diagnostic.
One surgical approach, selective posterior callostomy, can greatly decrease instances of drop attacks and improve function and behavior in patients with intellectual disability.
References
References
- "Atonic Seizures".
- "Atonic Seizure - Types of Seizures - The Johns Hopkins Epilepsy Center".
- (2016-11-08). "Selective posterior callosotomy for drop attacks: A new approach sparing prefrontal connectivity". Neurology.
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