Epilepsia partialis continua: Difference between revisions

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{{Infobox medical condition
| name            = Epilepsia partialis continua
| synonyms        = Kojevnikov's epilepsia
| field          = [[Neurology]]
| symptoms        = [[Focal motor seizure]]s, [[muscle twitching]]
| complications  = [[Status epilepticus]], [[cognitive impairment]]
| onset          = Any age, often in [[childhood]]
| duration        = Can be [[chronic (medicine)|chronic]]
| types          = [[Focal seizure]]
| causes          = [[Stroke]], [[brain tumor]], [[infection]], [[autoimmune disease]]
| risks          = [[Cerebral palsy]], [[cortical dysplasia]]
| diagnosis      = [[Electroencephalography|EEG]], [[MRI]]
| differential    = [[Myoclonus]], [[tics]], [[tremor]]
| treatment      = [[Anticonvulsant]]s, [[surgery]], [[immunotherapy]]
| medication      = [[Carbamazepine]], [[Valproate]], [[Levetiracetam]]
| prognosis      = Variable, often [[refractory epilepsy|refractory]]
| frequency      = Rare
}}
'''Epilepsia partialis continua''' (EPC) is a rare neurological condition, characterized by recurrent seizures that affect one part of the body. These seizures, or [[Epileptic seizure|epileptic fits]], can persist for extended periods, sometimes even for several years. EPC is a subtype of [[Epilepsy|epilepsy]], a broader group of neurological disorders characterized by epileptic seizures.
'''Epilepsia partialis continua''' (EPC) is a rare neurological condition, characterized by recurrent seizures that affect one part of the body. These seizures, or [[Epileptic seizure|epileptic fits]], can persist for extended periods, sometimes even for several years. EPC is a subtype of [[Epilepsy|epilepsy]], a broader group of neurological disorders characterized by epileptic seizures.
== Definition ==
== Definition ==
Epilepsia partialis continua is defined by the International League Against Epilepsy (ILAE) as a condition where a patient experiences recurrent motor epileptic seizures that are confined to one part of the body. These seizures occur on a near-continuous basis, and can persist for hours, days, or even years.
Epilepsia partialis continua is defined by the International League Against Epilepsy (ILAE) as a condition where a patient experiences recurrent motor epileptic seizures that are confined to one part of the body. These seizures occur on a near-continuous basis, and can persist for hours, days, or even years.
== Symptoms ==
== Symptoms ==
The primary symptom of EPC is recurrent [[Seizure|seizures]] that affect one part of the body. These seizures are often rhythmic and can involve twitching, jerking, or shaking. The affected part of the body can vary from patient to patient, but common areas include the face, hand, or foot. Some patients may also experience sensory disturbances or changes in consciousness during a seizure.
The primary symptom of EPC is recurrent [[Seizure|seizures]] that affect one part of the body. These seizures are often rhythmic and can involve twitching, jerking, or shaking. The affected part of the body can vary from patient to patient, but common areas include the face, hand, or foot. Some patients may also experience sensory disturbances or changes in consciousness during a seizure.
== Causes ==
== Causes ==
EPC can be caused by a variety of conditions, including [[Stroke|stroke]], [[Brain tumor|brain tumors]], [[Encephalitis|encephalitis]], and [[Cortical dysplasia|cortical dysplasia]]. In some cases, the cause of EPC is unknown. This is referred to as idiopathic EPC.
EPC can be caused by a variety of conditions, including [[Stroke|stroke]], [[Brain tumor|brain tumors]], [[Encephalitis|encephalitis]], and [[Cortical dysplasia|cortical dysplasia]]. In some cases, the cause of EPC is unknown. This is referred to as idiopathic EPC.
== Diagnosis ==
== Diagnosis ==
Diagnosis of EPC is based on the patient's symptoms and medical history. [[Electroencephalography|Electroencephalography]] (EEG) is often used to confirm the diagnosis and to identify the area of the brain where the seizures are originating.
Diagnosis of EPC is based on the patient's symptoms and medical history. [[Electroencephalography|Electroencephalography]] (EEG) is often used to confirm the diagnosis and to identify the area of the brain where the seizures are originating.
== Treatment ==
== Treatment ==
Treatment for EPC is primarily aimed at controlling the seizures. This can be achieved through the use of [[Anticonvulsant|anticonvulsant]] medications. In some cases, surgery may be considered to remove the area of the brain causing the seizures.
Treatment for EPC is primarily aimed at controlling the seizures. This can be achieved through the use of [[Anticonvulsant|anticonvulsant]] medications. In some cases, surgery may be considered to remove the area of the brain causing the seizures.
== Prognosis ==
== Prognosis ==
The prognosis for EPC varies depending on the underlying cause of the seizures. In some cases, the seizures can be well-controlled with medication, while in others, the seizures may be resistant to treatment.
The prognosis for EPC varies depending on the underlying cause of the seizures. In some cases, the seizures can be well-controlled with medication, while in others, the seizures may be resistant to treatment.
== See also ==
== See also ==
* [[Epilepsy]]
* [[Epilepsy]]
* [[Seizure]]
* [[Seizure]]
* [[Anticonvulsant]]
* [[Anticonvulsant]]
[[Category:Neurological disorders]]
[[Category:Neurological disorders]]
[[Category:Epilepsy]]
[[Category:Epilepsy]]

Latest revision as of 05:03, 4 April 2025


Epilepsia partialis continua
Synonyms Kojevnikov's epilepsia
Pronounce N/A
Specialty N/A
Symptoms Focal motor seizures, muscle twitching
Complications Status epilepticus, cognitive impairment
Onset Any age, often in childhood
Duration Can be chronic
Types Focal seizure
Causes Stroke, brain tumor, infection, autoimmune disease
Risks Cerebral palsy, cortical dysplasia
Diagnosis EEG, MRI
Differential diagnosis Myoclonus, tics, tremor
Prevention N/A
Treatment Anticonvulsants, surgery, immunotherapy
Medication Carbamazepine, Valproate, Levetiracetam
Prognosis Variable, often refractory
Frequency Rare
Deaths N/A


Epilepsia partialis continua (EPC) is a rare neurological condition, characterized by recurrent seizures that affect one part of the body. These seizures, or epileptic fits, can persist for extended periods, sometimes even for several years. EPC is a subtype of epilepsy, a broader group of neurological disorders characterized by epileptic seizures.

Definition[edit]

Epilepsia partialis continua is defined by the International League Against Epilepsy (ILAE) as a condition where a patient experiences recurrent motor epileptic seizures that are confined to one part of the body. These seizures occur on a near-continuous basis, and can persist for hours, days, or even years.

Symptoms[edit]

The primary symptom of EPC is recurrent seizures that affect one part of the body. These seizures are often rhythmic and can involve twitching, jerking, or shaking. The affected part of the body can vary from patient to patient, but common areas include the face, hand, or foot. Some patients may also experience sensory disturbances or changes in consciousness during a seizure.

Causes[edit]

EPC can be caused by a variety of conditions, including stroke, brain tumors, encephalitis, and cortical dysplasia. In some cases, the cause of EPC is unknown. This is referred to as idiopathic EPC.

Diagnosis[edit]

Diagnosis of EPC is based on the patient's symptoms and medical history. Electroencephalography (EEG) is often used to confirm the diagnosis and to identify the area of the brain where the seizures are originating.

Treatment[edit]

Treatment for EPC is primarily aimed at controlling the seizures. This can be achieved through the use of anticonvulsant medications. In some cases, surgery may be considered to remove the area of the brain causing the seizures.

Prognosis[edit]

The prognosis for EPC varies depending on the underlying cause of the seizures. In some cases, the seizures can be well-controlled with medication, while in others, the seizures may be resistant to treatment.

See also[edit]

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