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Crisis epiléptica parcial (focal) - Symptom

Nombres alternativos

Crisis epiléptica focal; Convulsión parcial (focal); Crisis epiléptica Jacksoniana; Convulsión del lóbulo temporal

Síntomas:

Los pacientes con convulsiones o crisis epilépticas focales pueden presentar cualquiera de los síntomas que aparecen a continuación, dependiendo de dónde comience la crisis en el cerebro.

Los pacientes con crisis epilépticas focales simples no perderán el conocimiento, permanecerán conscientes y recordarán los hechos que ocurran en el momento.

Los pacientes con crisis epilépticas parciales complejas pueden o no recordar algunos o todos los síntomas o hechos que rodearon la crisis:

  • Contracción muscular anormal
    • relajación/contracción muscular (actividad clónica); común
    • afecta un lado del cuerpo (una pierna, parte de la cara u otra área)
    • movimientos anormales de la cabeza
    • giro forzado de la cabeza
  • Ausencias con o sin movimientos repetitivos y complejos (como tomarse la ropa) que se denominan automatismos y abarcan:
    • movimientos anormales de la boca
    • chasquido con los labios
    • comportamientos que parecen ser un hábito
    • masticación/deglución sin causa
  • Giros forzados de los ojos
  • Sensaciones anormales
    • entumecimiento, hormigueo, sensación de arrastrarse (como hormigas caminando sobre la piel)
    • se pueden presentar en una sola parte del cuerpo o se pueden propagar
    • se puede presentar con o sin síntomas motores
  • Alucinaciones
  • Dolor o molestia abdominal
  • Náuseas
  • Sudoración
  • Enrojecimiento de la cara
  • Pupilas dilatadas
  • Pulso/frecuencia cardíaca rápidos

Otros síntomas:

Ver también:

  • Reviewed last on: 2/17/2011
  • Joseph V. Campellone, MD, Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Duvivier EH, Pollack Jr CV. Seizures. In: Marx, JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 100.

Krumholz A, Wiebe S, Gronseth G, et al. Practice parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology. 2007;69:1991-2007.

Rubin DH, Kornblau DH, Conway Jr EE, et al. Neurologic Disorders. In: Marx, JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 173.

Schachter SC. Seizure disorders. Med Clin North Am. March 2009;93(2).

Trescher WH, Lesser RP. The Epilepsies. In: Bradley WG, Daroff RB, Fenichel GM, Jakovic J, eds. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa; Butterworth-Heinemann; 2008: chap 71.

Walker SP, Permezel M, Berkovic SF. The management of epilepsy in pregnancy. BJOG. 2009; 116(6):758-67.

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