Small seizures

Simple absences. At the time of seizure the patient freezes in a specific position, which began the activity is suspended, the eye is attracted to the same point. Consciousness at the time of the attack lost a fraction of a second or a few seconds. After the attack, the child continues the occupation. With frequent attacks there is a slight fatigue. About attacks children do not know, but sometimes feel that "thought".
Complicated absences. Myoclonic absences are manifested in the form of short-term, sudden symmetric shudders (like a shock) in the proximal parts of, or throughout the body. At the time of seizure, a child may fall, drop the subject out of hand. Consciousness is not disturbed. The attacks are seen day and night. To provoke myoclonic seizures can sudden auditory or visual stimuli. Night tremors occur long before a clinical picture of epilepsy.
Atonic absences are characterized by a sudden short-term weakening or complete drop postural tone and result in a rapid flexion in the knees and falling of the patient. Then she slowly stands up. Sometimes the weakening of the tone is observed only in the muscles of the neck, which is manifested sudden quick inclination of the head. Seizures are longer "oboronitelnye". They begin suddenly, patients receive injuries, lost consciousness. Convulsions may be missing. The patient becomes pale, breathing remains flat, eyes wide. Noted involuntary urination.
Akineticalkie absences. Clinically to establish the difference with atopic almost impossible. However, after the sudden fall sick rises rapidly and continues the interrupted session. Seizures does not happen. The frequency of absences ranges up to several dozens a day. Attacks in contrast to fainting so unexpected that the patient receives a significant injuries.
The syndrome of Lenox-Gastaut syndrome described in 1971, is a rare form of encephalopathy with frequent nesuderinami and seizures, beyond the usual anticonvulsive therapy, with the rapid degradation. P. M. saradjishvili (1977) described two children with this syndrome, in which the clinical picture prevailed degradation and frequent absences.
The status of absences is characterized by long, often within hours and days-off consciousness with the twitching of the eyelids, meaningless look up to the development of stuporous state.
Retropulsion attacks are designated as microleptinae absences. Clinically they are characterized by short-term (up to several seconds) numerous (up to several tens per day) paroxysms. The latter is expressed in a sudden shutdown of consciousness without falling with voltage of some groups of muscles - easy deviation torso back and rolling one's eyes. Sometimes there vegetative manifestations. Attacks occur bowl in children 4-10 years. They are marked irritability, emotional lability.
Propulsion seizures, or infantile spasms (West syndrome), clinical manifestation resemble mioclonii. But they are slower, accompanied by bilateral bending arms, torso. Seizures are serial in nature to a few dozen a day, accompanied by severe disturbances of motor activity and mental development. To 2-3 months of age intuitivne spasms occur as nodding, the peck with a total jerk. Because of the unexpectedness of the emergence of the peck, can occur bruises on close located subjects. With 6 months attacks manifest themselves in the form of bows, flexion of the trunk, with a 12 - slow torso with breeding or by hand, which was like the movements of the Eastern welcome. Consciousness can be maintained. Infantile spasms are accompanied by the cry of fear with the expressed vegetative disorders in blood person, shortness of breath. Based propulsion attacks is expressed organic brain damage, so they are poor prognostic sign.
Vegetative-visceral absences occur more frequently in children 1-3 years. The attacks are in the nature of abdominal crises - the child feels pain in the abdomen, nausea. There are blanching face, tachycardia, a sense of fear. The attack ends deployed klonico-tonic convulsions or limited to the first phase. He is very short and often occurs at night.
The clinical picture of polymorphic seizures noted various manifestations of absences. Lagging behind in development. The treatment is ineffective.