Tonic (stiffening)/Clonic (convulsing) Seizure

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  • Tonic (stiffening)/Clonic (convulsing) Seizure

Symptoms

  • Tongue biting
  • Incontinence
  • Muscle aches
  • Sometimes preceded by aura
  • Generalized convulstions/shaking
  • Post-ictal state where dont recall events and relatively somnolent
  • Can have injuries if fall

Physical Exam Findings

  • Incontinence
  • Not responsive to words or stimuli
  • Generalized muscle stiffness/body rigidity
  • Limb shaking, tongue biting, frothing at mouth
  • Typically last < 1 min (longer duration carry significant risk morbidity)
  • Post seizure confused, amnestic to event
  • Might sustain injuries if fall or strike object during seizure; or if seizure occurred while driving, operating equipment