Question1

Are epileptic fits occurring strictly during sleep pathognomonic for

frontal or temporal lobe epilepsy or any other epileptic syndrome?

Question 2

Despite childhood somnambulism often disappearing later in life, could

its first presentation after puberty on a nearly daily basis, raise the

possibility of frontal lobe epilepsy or other organic pathology? Would an

electroencephalogram (EEG) or polysomnography confirm this?2185

Question3

Could masticatory automatisms follow a generalized tonic-clonic fit? If

so, would these or would these not be considered part of the same fit?

Question 4

Is it common for epileptic patients to have postictal vomiting? If so, how

often does this occur?

Question 5

In temporal lobe epilepsy, what is meant by 'cephalic aura' and how does

this manifest itself?

Question 6

How often are atonic fits the cause of falls with loss of consciousness in a

patient not suffering from any other type of seizure?

Question 7

Can mild anaemia (haemoglobin 10.8 g/dL) in a young female cause

syncopal attacks that are preceded by a sense of falling, followed by a

loss of consciousness and drowsiness for up to 1 hour? Do these data

favour complex partial seizures rather than syncope?95

Question 8

I am confused between simple and complex partial seizures. Does the

loss of consciousness define complex partial seizures in an otherwise

what seems to be 'simple partial' clinically?

Question 9

What is the definition of accepted rather than complete control of

seizures in both partial and generalized tonic clonic seizures?

Question 10

In an otherwise normal adolescent patient with no history of drug or

alcohol intake, is it recommended that anti-epileptic drugs be started

after the first generalized tonic-clonic fit?