Epileptic seizures Are seizures partial or generalized Partial Generalized Is consciousness impaired Yes No Are they convulsive Yes No Complex partial seizures Simple partial seizures Tonicclonic or myoclonic seizures Absence seizures Phenytoin and carbamazepine are drugs of choice Ethosuximide and valproic acid may be used Adapted from Humes DH DuPont HL Gardner Lb et al.Degeneration of nerves in the basal ganglia occurring in later life leading to tremors shufing gait and muscle stiffness dopamine neurotransmitter is decient in the brain
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