Complex partial epilepsy - Complex partial seizures

Medium urgency
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It is a type of seizure started in a region of the brain (partial focus) and is then generalized to the rest.

Often the cause is unknown, but they have also been described linked to: trauma, infections, cancer, genetic and toxic alterarions.

The symptoms are first localized in a region of the body (e.g. repeated movements of one arm) and become generalized (e.g. loss of consciousness and generalised convulsions) afterwards. Automatisms such as suckling, chewing, coughing are common, as well as complex gestures: fixing one's clothes, moving furniture, automatic speech.

The diagnosis is clinical, through questioning and physical examination. An electroencephalography may be performed to confirm the diagnosis. Other imaging tests may be necessary to study the cause.

In some instances, childhood epilepsy may be cured spontaneously when reaching puberty. In the meantime, episodes will be managed with antiepilepsy drugs.

Bibliographic references
  1. Steven C Schachter. Evaluation of the first seizure in adults. UptoDate, Agosto 2016
  2. Fisher RS. ILAE official report: a practical clinical definition of epilepsy. Epilepsia 2014; 55:475.
  3. Ottman R. Accuracy of family history information on epilepsy and other seizure disorders. Neurology 2011; 76:390.
  4. Daniel H. Lowenstein. Convulsiones y epilepsia. Harrison. Principios de Medicina Interna, 19e. Capítulo 445.
  5. J. J. Zarranz Imirizaldu. Epilepsias. Farreras Rozman. Medicina Interna, ed 18. Capítulo 168
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Difficulty remembering what happened after seizure


    Convulsions in a limb


    Confusion after seizure


    Coma


    Hallucinations

Pre-hospital care recommendations

During the seizure, move all objects that could injure the person.
Do not insert objects or fingers in the person's mouth.
Turn the person onto their side during the seizures.