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Ethosuximide (Zarontin). This often is the first medicine prescribed for absence seizures. Most people see improvement in their seizures with this medicine.
An absence seizure is a generalized onset seizure, which means it begins in both sides of the brain at the same time. An older term is petit mal seizures. However, this term is not preferred as it is not specific for absence seizures and can also be used to describe focal seizures.
Absence seizures usually have a genetic cause. In general, seizures occur as a result of a burst of electrical impulses from nerve cells in the brain, called neurons. Neurons typically send electrical and chemical signals across the synapses that connect them.
The following information should be obtained in the history: Record the patients age. If a family history of seizures is noted, determine the clinical epilepsy syndrome of the affected family member. Ask about a history of any previous provoked seizure. Determine if the first seizure was status epilepticus.
An electroencephalogram (EEG) is a test most often used to diagnose absence seizures. This test records the brains electrical activity. It spots any problems that might mean an absence seizure. Sometimes the EEG is recorded over a few days (long-term EEG).
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You can use a seizure diary to make a note of: When your seizures are happening. The types of seizures youre having. How long they last. Whether you have any video evidence of the seizure. Whether there are any possible triggers that might be affecting your seizures.
Neurologists are key to managing absence seizures. However, the long-term care and monitoring are done by an interprofessional team that includes the neurologist (child neurologist in the case of the pediatric population), primary care physician, advanced care practitioner, nurse, and pharmacist.
Write down what happened as soon as you can. Include as much information as possible about the following areas: BEHAVIOR BEFORE THE SEIZURE - what was the person doing at the time of event, change in mood or behavior hours or days before, warning or aura shortly before event.

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