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Pharmacology of Antiepileptic Drugs

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Generalized Tonic-Clonic Tonic Clonic Seizures<br />

• Recruitment <strong>of</strong> neurons throughout the cortex<br />

• Major convulsions, usually with two phases:<br />

• 1) Tonic phase: muscles will suddenly tense up, causing the<br />

person to fall to the ground if they are standing.<br />

• 2) Clonic phase: muscles will start to contract<br />

• and relax rapidly, causing convulsions<br />

• Convulsions:<br />

− motor manifestations<br />

− may or may not be present during seizures<br />

− excessive neuronal discharge<br />

• Convulsions appear in Simple Partial and Complex Partial<br />

Seizures if the focal neuronal discharge includes motor centers;<br />

they occur in all Generalized Tonic-Clonic Seizures regardless <strong>of</strong><br />

the site <strong>of</strong> origin.<br />

• Atonic and absence Seizures are non-convulsive<br />

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