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Question

Focal seizures may be associated with which of the following? 

1. Jacksonian march 

2. Todd's paralysis 

3. Epilepsia partialis continua 

Select the correct answer using the code given below.

The correct answer is
1, 2 and 3

Focal Seizures and Associated Conditions

Focal seizures originate in one hemisphere of the brain. Let's analyze the listed conditions in relation to focal seizures:

  • 1. Jacksonian March: This refers to a type of focal motor seizure where the seizure activity, often twitching or jerking, spreads sequentially to adjacent areas of the body, following the motor cortex map. It is a characteristic manifestation of focal cortical seizures originating in the motor strip.
  • 2. Todd's Paralysis: This is a temporary, localized weakness or paralysis that can affect a part of the body after a focal seizure has occurred in the corresponding motor area of the brain. It is a postictal symptom directly linked to focal seizures.
  • 3. Epilepsia Partialis Continua (EPC): This condition involves continuous or rapidly recurring focal motor seizures, typically affecting a specific muscle group or body part, often without loss of consciousness. It is considered a form of focal status epilepticus.

Conclusion: All three conditions listed—Jacksonian march, Todd's paralysis, and Epilepsia partialis continua—are directly associated with focal seizures.

Therefore, the correct option includes all three numbered items.

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Important Questions from Epilepsy

  1. Consider the following with regard to trigger factors for seizures : 

    1. Flickering lights 

    2. Recreational drug misuse 

    3. Non-compliance to treatment with antiepileptic drugs 

    4. Sleep deprivation 

    Which of the factors given above are correct?

  2. Typical absence seizures are characterized by
  3. In a young epileptic woman wishing to use oral contraceptive agents, which of the following drugs is not an ideal agent?
  4. Which of the following is not useful in the management of status epilepticus?
  5. Match List I with List II and select the correct answer using the code given below the lists: ​

    List I (Drugs for Epilepsy)   List II (Side Effects - Dose Dependent)
    A. Sodium valproate1. Raised liver enzymes
    B. Carbamazepine2. Hirsutism
    C. Phenytoin3. Hyperactivity
    D. Phenobarbitone4. Drowsiness
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