Friday, 15 May 2015
THE PATHOPHYSIOLOGIC CASCADE
The differential diagnosis for epilepsy is comprehensive
and includes a number of cardiovascular, neuromuscular, and psychiatric
disorders (see Differential Diagnosis for Epilepsy). The brain is a network of
interconnected neurons that can produce a wide array of synchronized
activities, including those that trigger epileptic seizures. Both focal and
tonic–clonic seizures have been associated with recurrent excitatory interactions
between pyramidal cells in the cerebral cortex or hippocampus, whereas absence
seizures result from the abnormal oscillatory activity of excitatory and
inhibitory brain cells in the thalamus and cerebral cortex.
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