Distinguish between partial and generalized seizure classes
Distinguish between partial and generalized seizure classes by:
location of lesion
etiology and prognosis by age and complicating causes/conditions at onset
treatments, if needed
Distinguish between meningitis and encephalitis conditions by:
causative microbes
clinical manifestations as associated with cell/tissue damage
diagnostic criteria
treatment
prognosis
Pathophysiology question!
Solution
Generalized seizures - Occurs in all parts of the brain simultaneously.
 Etiology - Genetically, Head trauma, Brain tumor, Alzheimer, stroke, autism etc.,
 Age - At any age but occurence high in very young and older age.
 Complications - Permanent brain damage, Disability in learning.
 Treatment - Surgery remove abnormal brain cells due to seizures, Remove tumors or abnormal blood vessels.
Partial Seizures - Occurs in any particular area of the brain.
 Etiology - Epilepsy, Brain tumors, Heat stroke, Low blood sugar, Venomous bites, Liver or kidney failure, Brain injuries.
Age - At any age
 Complication - Due to emotional stress, cognitive and behavioral difficulties.
 Treatment - Cannot be treated but medication taken according to doctor prescription.
Meningitis
Microbes - Pnuumococcal meningitis - Streptococcus pneumoniae
              Meningococcal meningitis - Neisseria meningitides.
                  Escherichia coli meningitis - E.coli
                  Enteroviruses, Influenza,HIV
 Clinical manifestations - Fever, Severe headache, Nausea/Vomiting, Double vision, Drowsiness
 Laboratory screening - Throat culture, cerebrospinal fluid analysis, CT, MRI or EEG
 Treatment - With the help of Antibiotics, Antiviral drug, Anticonvulsants
 Prognosis Based on infection - For bacterial meningitis 2-3 days
Encephalitis
Microbes - Herpes simplex virus, Arbovirus
 Clinical manifestations - Fever, Seizures, Change in behavior, Confusion and Disorientation
 Laboratory screening - Throat culture, Cerebrospinal fluid analysis, CT, MRI or EEG
 Treatment - Antiviral drug, Anticonvulsants, Immunosuppressant drugs
 Prognosis - Depends on the cause and extent of brain inflammation.

