Focal Seizures Focal Seizures With Impairment of Consciousness - The seizure may or may not start with the autonomic or psvchic symptoms outlined above. Consciousness is impaired, and the person appears confused. Automatisms include automatic motor behaviors such as chewing, smacking the lips, walking about, and unbuttoning clothes; also more complicated and skilled behaviors such as driving a car. - The patient may remember initial autonomic or psychic symptoms (which are then termed an aura), but is amnesic for the rest of the seizure. Temporary confusion and headache may occur. Focal Seizures That Become Generalized - Partial seizures that become generalized resemble tonic—clonic seizures. Unfortunately, the patient may not recall the focal onset, and observers may overlook it. As in a tonic-clonic seizure, described on the next page. Two attributes indicate a partial seizure that has become generalized: ( 1 ) the recollection of an aura, and (2) a unilateral neurologic deficit during the postictal period. #Focal #Seizures #Diagnosis #Neurology #Partial
