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epilepsy [2023/11/09 15:40] – kevinepilepsy [2023/11/10 14:50] (current) – kevin
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 In the absence of expert medical advice and appropriate oversight, individuals with a documented history of epilepsy must be precluded from receiving any form of Integral Eye Movement Therapy (IEMT). This contraindication arises from the necessity to mitigate potential risks and ensure the safety and well-being of the client, as such therapies may provoke seizures in susceptible individuals.  In the absence of expert medical advice and appropriate oversight, individuals with a documented history of epilepsy must be precluded from receiving any form of Integral Eye Movement Therapy (IEMT). This contraindication arises from the necessity to mitigate potential risks and ensure the safety and well-being of the client, as such therapies may provoke seizures in susceptible individuals. 
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 ==== Classification Based on Seizure Type ==== ==== Classification Based on Seizure Type ====
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 ==== Evolution to Bilateral Tonic-Clonic Seizures ==== ==== Evolution to Bilateral Tonic-Clonic Seizures ====
-Some focal seizures can generalise, leading to bilateral tonic-clonic seizures. The initial focal onset may manifest as a warning or 'aura' before consciousness is lost and generalised convulsive movements begin. The tonic phase is characterised by a sudden loss of consciousness with muscle stiffening, while the clonic phase involves rhythmic jerking movements. Sudden cessation of respiration during the tonic phase may lead to cyanosis, and injuries can occur from falls or during convulsions.+Some focal seizures can generalise, leading to bilateral tonic-clonic seizures. The initial focal onset may manifest as a warning or 'aura' before consciousness is lost and generalised convulsive movements begin. The tonic phase is characterised by a sudden loss of consciousness with muscle stiffening, while the clonic phase involves rhythmic jerking movements. Sudden cessation of respiration during the tonic phase may lead to cyanosis[(Cyanosis [[https://www.nhs.uk/conditions/blue-skin-or-lips-cyanosis/]])], and injuries can occur from falls or during convulsions.
  
 ===== Generalised Seizures ===== ===== Generalised Seizures =====
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 ==== Epilepsy Syndromes ==== ==== Epilepsy Syndromes ====
  
-In addition to seizure type and aetiology, **epilepsy syndromes** are recognised by a cluster of features that occur together, which can include:+In addition to seizure type and aetiology, **epilepsy syndromes[(Epilepsy Syndromes [[https://epilepsysociety.org.uk/about-epilepsy/information-parents/childhood-epilepsy-syndromes]])]** are recognised by a cluster of features that occur together, which can include:
   * **Specific Seizure Types**   * **Specific Seizure Types**
   * **EEG Findings**   * **EEG Findings**
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 For those unsuitable for surgery, neurostimulation presents an alternative: For those unsuitable for surgery, neurostimulation presents an alternative:
  
-  * **Vagus Nerve Stimulation (VNS)**+  * **Vagus Nerve Stimulation[(Vagus Nerve Stimulation [[https://epilepsysociety.org.uk/about-epilepsy/treatment/vagus-nerve-stimulation]])] (VNS)**
   * **Deep Brain Stimulation (DBS)**   * **Deep Brain Stimulation (DBS)**
   * **Responsive Neurostimulation (RNS)**   * **Responsive Neurostimulation (RNS)**
  • Last modified: 2023/11/09 15:40
  • by kevin