Topic: Seizure
Subject: Medicine
A 52-year-old male with a history of seizure attacks suffered from loss of consciousness and tonic and clonic muscular contractions. His tongue fell back into the throat and he choked. What is the most likely diagnosis of this presentation?
Petit mal seizure
Grand mal seizure
Myoclonic seizure
Atonic seizure
Correct Answer :
B. Grand mal seizure
Grand mal seizure (tonic-clonic seizure) is characterized by sudden loss of the consciousness followed by tonic and clonic muscular contractions. During a seizure the tongue could fall back into the throat and choke the patient.
> Petit mal seizure is not characterized by tonic and clonic muscular movements.
> Myoclonic seizure involves the contraction of the muscles but there would be no loss of consciousness or choking of the throat with saliva.
> Atonic seizure is the wrong answer because here the muscles loose their tone.
> Convulsions is the wrong answer.
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