Napad nieświadomości
Objawy

Napady nieświadomości (absence seizures) to uogólnione napady padaczkowe charakteryzujące się krótkotrwałą utratą świadomości bez utraty napięcia mięśniowego, trwające zwykle 5-15 sekund (maksymalnie do 30 sekund). W EEG obserwuje się typowe zespoły iglica-fala o częstotliwości 3 Hz. Klinicznie manifestują się nagłym zatrzymaniem aktywności, zapatrzeniem, brakiem reakcji na bodźce, trzepotaniem powiek, mlaskaniem, drobnymi ruchami rąk oraz natychmiastowym powrotem do świadomości bez pamięci epizodu. Atypowe napady nieświadomości, trwające powyżej 20 sekund, z bardziej stopniowym początkiem i zakończeniem, mogą wiązać się z zaburzeniami napięcia mięśniowego, upadkiem i krótkotrwałą dezorientacją, często występują w zespole Lennoxa-Gastaut i wykazują gorszą odpowiedź na leczenie. Napady mogą występować wielokrotnie (nawet 50-100 razy dziennie), co może prowadzić do zaburzeń funkcji poznawczych, zwłaszcza uwagi i koncentracji.

Charakterystyka napadów nieświadomości

Napady nieświadomości (absence seizures) to specyficzny rodzaj napadów padaczkowych, charakteryzujący się krótkotrwałą utratą świadomości bez utraty napięcia mięśniowego. Stanowią one rodzaj napadów uogólnionych bez komponenty ruchowej, podczas których dochodzi do nagłego przerwania aktualnie wykonywanej czynności, z towarzyszącym zapatrzeniem i brakiem kontaktu z otoczeniem12. Napady te charakteryzują się nagłym początkiem i nagłym zakończeniem, co odróżnia je od innych stanów zaburzeń świadomości3.

Napady nieświadomości występują najczęściej u dzieci w wieku od 4 do 14 lat, ze szczytem występowania między 5 a 7 rokiem życia, dotykając dzieci wcześniej prawidłowo rozwijające się45. Warto jednak podkreślić, że mimo iż napady te są charakterystyczne dla wieku dziecięcego, mogą one utrzymywać się do wieku dorosłego, a w niektórych przypadkach pojawiać się również u osób dorosłych6.

Na poziomie elektrofizjologicznym napady nieświadomości korelują z uogólnionymi, symetrycznymi i synchronicznymi wyładowaniami w zapisie elektroencefalograficznym (EEG) o charakterze zespołów iglica-fala o częstotliwości 3 Hz7. Ta charakterystyczna aktywność bioelektryczna mózgu stanowi podstawę diagnostyczną napadów nieświadomości.

Objawy typowych napadów nieświadomości

Typowe napady nieświadomości charakteryzują się nagłym zatrzymaniem aktywności z towarzyszącym zapatrzeniem. Osoba doświadczająca napadu nagle przerywa wykonywaną czynność i wpatruje się pustym wzrokiem przed siebie, nie reagując na bodźce z otoczenia89. Napad nieświadomości może wystąpić w trakcie różnych aktywności, takich jak rozmowa, chodzenie czy jedzenie, powodując ich nagłe przerwanie10.

Typowy napad nieświadomości trwa zwykle od 5 do 15 sekund, choć może trwać do 30 sekund1112. Po ustąpieniu napadu osoba zwykle natychmiast powraca do przytomności, kontynuując przerwaną aktywność, najczęściej bez świadomości, że napad miał miejsce13.

Głównymi objawami typowych napadów nieświadomości są:

  • Nagłe zatrzymanie aktywności bez upadku14
  • Zapatrzenie, pusty wzrok15
  • Brak reakcji na bodźce zewnętrzne (słowa, dotyk)16
  • Trzepotanie powiek17
  • Mlaskanie lub ruchy żucia18
  • Drobne ruchy rąk lub pocieranie palcami19
  • Natychmiastowy powrót do świadomości po napadzie20
  • Brak pamięci epizodu21

Warto podkreślić, że osoba doświadczająca napadu nieświadomości zazwyczaj nie upada, ponieważ zachowane jest napięcie mięśniowe22. W przypadku, gdy napad wystąpi w trakcie chodzenia, osoba może zatrzymać się lub kontynuować chodzenie w sposób automatyczny, bez świadomości tego, co robi23.

Objawy atypowych napadów nieświadomości

Obok typowych napadów nieświadomości wyróżniamy również atypowe napady nieświadomości, które charakteryzują się mniej wyraźnym początkiem i zakończeniem, dłuższym czasem trwania (powyżej 20 sekund) oraz bardziej zauważalnymi zmianami w aktywności mięśniowej2425.

Atypowe napady nieświadomości mogą obejmować:

  • Bardziej stopniowy początek i zakończenie napadu26
  • Dłuższy czas trwania napadu (powyżej 20 sekund)27
  • Bardziej zauważalne zaburzenia napięcia mięśniowego28
  • Możliwość upadku29
  • Wyraźniejsze automatyzmy ruchowe, np. mlaskanie, żucie30
  • Krótkotrwałe uczucie dezorientacji po napadzie31

Atypowe napady nieświadomości występują często w zespole Lennoxa-Gastaut, charakteryzującym się mnogimi typami napadów, upośledzeniem intelektualnym oraz wolnymi zespołami iglica-fala w zapisie EEG32. Atypowe napady nieświadomości są trudniejsze do kontrolowania farmakologicznego niż napady typowe33.

Automatyzmy podczas napadów nieświadomości

Podczas napadów nieświadomości, zarówno typowych jak i atypowych, mogą występować różne rodzaje automatyzmów. Są to mimowolne, stereotypowe ruchy wykonywane bez świadomości. Najczęściej obserwowane automatyzmy to:

  • Trzepotanie powiek34
  • Ruchy żucia lub mlaskanie35
  • Pocieranie palcami36
  • Drobne ruchy rąk37
  • Kiwanie głową38

Automatyzmy te są charakterystycznym objawem napadów nieświadomości i mogą być pomocne w diagnostyce, szczególnie gdy napady są subtelne i trudne do zaobserwowania39.

Częstotliwość występowania napadów

Napady nieświadomości mogą występować wielokrotnie w ciągu dnia, co jest jedną z ich charakterystycznych cech. U niektórych pacjentów, szczególnie dzieci, może dochodzić nawet do 50-100 napadów w ciągu dnia4041.

Częstotliwość występowania napadów ma istotne znaczenie kliniczne, ponieważ wysoka częstotliwość napadów może prowadzić do zaburzeń funkcji poznawczych, szczególnie uwagi i koncentracji, co może skutkować problemami w nauce i funkcjonowaniu społecznym42. Częstość napadów zależy od wielu czynników, w tym od:

W przypadku skutecznego leczenia częstotliwość napadów może zostać znacząco zmniejszona lub napady mogą zostać całkowicie wyeliminowane47.

Czynniki wyzwalające napady nieświadomości

Istnieje kilka czynników, które mogą wyzwalać lub nasilać napady nieświadomości. Do najczęstszych należą:

  • Hiperwentylacja – przyspieszony, głęboki oddech może wyzwalać napady nieświadomości, co wykorzystuje się w diagnostyce tych napadów4849
  • Stymulacja świetlna (fotyczna) – u niektórych osób błyskające światło może prowokować napady50
  • Zmęczenie i niewystarczająca ilość snu51
  • Stres i silne emocje52
  • Niski poziom cukru we krwi53

Napady nieświadomości są również bardziej prawdopodobne, gdy osoba jest znudzona, zmęczona lub nie jest zaangażowana w żadną aktywność, natomiast rzadziej występują, gdy osoba jest skoncentrowana54.

Przebieg i progresja napadów nieświadomości

Naturalny przebieg napadów nieświadomości zależy od wielu czynników, w tym od wieku wystąpienia, typu zespołu padaczkowego oraz reakcji na leczenie. W większości przypadków rokowanie dla dzieci z typowymi napadami nieświadomości jest dobre55.

Około 57-74% dzieci z dziecięcą padaczką z napadami nieświadomości (CAE) wyrasta z napadów w okresie dojrzewania lub wczesnej dorosłości5657. Jednak u około 10-15% pacjentów napady nieświadomości mogą utrzymywać się również w wieku dorosłym58.

Istnieje również ryzyko, że u części pacjentów (około 10-40%) z czasem mogą rozwinąć się inne typy napadów, najczęściej napady toniczno-kloniczne5960. Około 5-15% pacjentów z napadami nieświadomości rozwija młodzieńczą padaczkę miokloniczną61.

Progresja napadów nieświadomości może być związana ze zmianami w mielinizacji. Badania wykazały, że nieprawidłowa aktywność neuronalna podczas napadów nieświadomości może prowadzić do zmian w mielinizacji, co z kolei może nasilać napady62.

Napad nieświadomości status epilepticus

Szczególną formą progresji napadów nieświadomości jest stan padaczkowy nieświadomości (absence status epilepticus), który charakteryzuje się przedłużonym napadem nieświadomości trwającym od kilku godzin do nawet kilku dni6364.

Stan padaczkowy nieświadomości jest stanem nagłym wymagającym interwencji medycznej. Głównym objawem jest zmieniona treść świadomości przy zachowanej czujności i częściowej reaktywności65. Stan ten może zakończyć się samoistnie lub przejściem w napad toniczno-kloniczny66.

Stan padaczkowy nieświadomości może wystąpić u niewielkiej liczby pacjentów z padaczką z napadami nieświadomości i stanowi poważne powikłanie wymagające natychmiastowego podania leków ratunkowych67.

Wpływ napadów nieświadomości na codzienne funkcjonowanie

Mimo że napady nieświadomości są krótkotrwałe i zazwyczaj nie powodują widocznych obrażeń fizycznych, mogą one mieć istotny wpływ na codzienne funkcjonowanie pacjenta, szczególnie w przypadku częstego występowania68.

Wpływ na funkcje poznawcze i edukację

Napady nieświadomości mogą znacząco wpływać na edukację i rozwój poznawczy dziecka. Problemy te mogą obejmować:

  • Trudności w nauce i koncentracji69
  • Zaburzenia uwagi70
  • Problemy z pamięcią71
  • Nienadążanie za programem szkolnym72

Częste napady nieświadomości w ciągu dnia mogą prowadzić do „wypadania” fragmentów lekcji, co utrudnia zrozumienie i przyswojenie materiału73. Często napady nieświadomości są mylone z problemami z koncentracją, marzeniami na jawie lub trudnościami w nauce, co opóźnia właściwą diagnozę i leczenie74.

Wpływ na funkcjonowanie społeczne

Napady nieświadomości mogą również wpływać na funkcjonowanie społeczne dziecka lub osoby dorosłej. Problemy te mogą obejmować:

  • Izolację społeczną75
  • Trudności w relacjach z rówieśnikami76
  • Niezrozumienie zachowania przez otoczenie77
  • Frustrację i wstyd78

Dzieci z napadami nieświadomości mogą być postrzegane jako nieuważne, roztargnione lub mające problemy z zachowaniem, co może prowadzić do negatywnych reakcji ze strony nauczycieli i rówieśników79.

Wpływ na bezpieczeństwo

Choć napady nieświadomości rzadko prowadzą do urazów fizycznych, istnieje ryzyko obrażeń, jeśli napad wystąpi podczas wykonywania potencjalnie niebezpiecznych czynności, takich jak:

  • Prowadzenie pojazdów80
  • Jazda na rowerze81
  • Pływanie82
  • Przechodzenie przez ruchliwą ulicę83

Ryzyko obrażeń wzrasta wraz z częstotliwością napadów oraz czasem ich trwania84.

Rokowanie i długoterminowy przebieg

Rokowanie dla pacjentów z napadami nieświadomości zależy od typu padaczki, wieku wystąpienia pierwszych napadów oraz odpowiedzi na leczenie. Ogólnie, rokowanie dla dzieci z typowymi napadami nieświadomości jest dobre85.

W przypadku dziecięcej padaczki z napadami nieświadomości (CAE):

  • Około 80% pacjentów dobrze odpowiada na leczenie86
  • U 57-74% pacjentów napady ustępują w okresie dojrzewania lub wczesnej dorosłości87
  • Wczesny początek napadów, szybka odpowiedź na leczenie i prawidłowe tło EEG są dobrymi czynnikami prognostycznymi88

W przypadku młodzieńczej padaczki z napadami nieświadomości (JAE) rokowanie jest mniej korzystne:

  • Napady zazwyczaj nie ustępują samoistnie i wymagają kontynuacji leczenia w wieku dorosłym89
  • Ryzyko rozwoju napadów toniczno-klonicznych jest wyższe90

W przypadku atypowych napadów nieświadomości, szczególnie tych występujących w zespole Lennoxa-Gastaut, rokowanie jest mniej korzystne. Napady te są często oporne na leczenie i często współistnieją z upośledzeniem intelektualnym91.

Długoterminowe obserwacje wskazują, że nawet po ustąpieniu napadów nieświadomości, u około 10-40% pacjentów mogą wystąpić inne typy napadów, głównie napady toniczno-kloniczne9293.

Obraz kliniczny napadów nieświadomości

Napady nieświadomości manifestują się charakterystycznym obrazem klinicznym, który pomaga w ich rozpoznaniu. Poniższa tabela przedstawia główne cechy kliniczne typowych i atypowych napadów nieświadomości:

Cecha kliniczna Typowe napady nieświadomości Atypowe napady nieświadomości
Czas trwania 5-15 sekund, maksymalnie do 30 sekund Powyżej 20 sekund, mogą trwać dłużej
Początek i zakończenie Nagły początek i zakończenie Bardziej stopniowy początek i zakończenie
Świadomość Całkowity brak świadomości Częściowo zachowana świadomość
Automatyzmy Minimalne (trzepotanie powiek, mlaskanie) Bardziej nasilone (wyraźne ruchy ust, rąk)
Napięcie mięśniowe Zachowane Może występować utrata napięcia, możliwy upadek
Stan po napadzie Natychmiastowy powrót do aktywności, brak dezorientacji Możliwa krótkotrwała dezorientacja
Czynniki prowokujące Hiperwentylacja, stymulacja fotyczna Rzadziej prowokowane przez hiperwentylację
Obraz EEG Uogólnione zespoły iglica-fala 3 Hz Wolniejsze zespoły iglica-fala 2,5 Hz
Odpowiedź na leczenie Zwykle dobra Często słabsza, większa oporność
Rokowanie Dobre, często ustępują w okresie dojrzewania Gorsze, często utrzymują się w dorosłości

Napady nieświadomości, mimo że krótkotrwałe i często subtelne, mogą mieć istotny wpływ na funkcjonowanie pacjenta, szczególnie w przypadku częstego występowania. Wczesne rozpoznanie i odpowiednie leczenie są kluczowe dla zapobiegania negatywnym konsekwencjom związanym z powtarzającymi się napadami9495.

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  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Absence Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499867/
    Absence seizures are classified as a type of generalized onset nonmotor seizure with clinical symptoms, including unresponsiveness and staring spells. Absence seizures are generally seen in children aged 5 to 15 years and occur in multiple genetic generalized epilepsies, including childhood absence epilepsy (CAE), juvenile absence epilepsy (JAE), and juvenile myoclonic epilepsy (JME). […] While primarily affecting children, absence seizures can persist into adulthood, significantly impacting daily functioning and quality of life if left untreated. […] Absence seizures are brief seizures characterized by a behavioral arrest correlating with generalized 3-Hz spike and wave discharges on electroencephalogram (EEG). […] Absence seizures have often been considered „benign” due to their nonconvulsive nature; however, up to 60% of children with absence seizures have severe neuropsychic manifestations, including disturbances in attention, cognition, memory, and mood.
  • #2 Absence seizure – Wikipedia
    https://en.wikipedia.org/wiki/Absence_seizure
    Absence seizures are characterized by a brief loss and return of consciousness, generally not followed by a period of lethargy (i.e. without a notable postictal state). […] The clinical manifestations of absence seizures vary significantly among patients. Impairment of consciousness is the essential symptom, and may be the only clinical symptom, but this can be combined with other manifestations. The hallmark of the absence seizures is abrupt and sudden-onset impairment of consciousness, interruption of ongoing activities, a blank stare, possibly a brief upward rotation of the eyes. […] Mixed forms of absence frequently occur. These seizures can happen a few times a day or in some cases, hundreds of times a day, to the point that the person cannot concentrate in school or in other situations requiring sustained, concentrated attention.
  • #3 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #4 Absence Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499867/
    The age of onset of CAE is usually between 4 and 10 years, with a peak between the ages of 5 and 7. […] Regarding the clinical presentation, family members and teachers usually describe brief spells in which the child has a loss of awareness, is unresponsive, and has a behavioral arrest. Bystanders often describe the patient during these spells as having a blank stare. Episodes frequently occur, often 10 to 30 times throughout the day. […] Spells usually last between 4 and 30 seconds. […] These seizures are not preceded by an aura and do not have a postictal state. […] The first-line treatment for absence epilepsy is ethosuximide. […] Approximately 60% of patients with CAE eventually achieve seizure freedom.
  • #5 A Practical Guide to Treatment of Childhood Absence Epilepsy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6394437/
    Childhood absence epilepsy (CAE) is a common pediatric epilepsy syndrome with distinct seizure semiology, electroencephalography (EEG) features, and treatment. Seizures usually begin between 4 and 10 years of age, with a peak around 6-7 years, in a previously healthy and typically developing child. Seizures occur many times daily and consist of brief staring spells, sometimes with rhythmic eye blinking or motor automatisms, lasting seconds, with immediate return to the baseline level of awareness and activity. On electroencephalography (EEG), seizures are characterized by a highly recognizable pattern of generalized (bilateral, symmetric and synchronous) 3 Hz spike and wave discharges. […] Absence seizures typically cause sudden cessation of activity that is easily recognizable. Elements of history that suggest absence seizures include sudden loss of facial expression; repetitive movements (such as lip smacking or blinking); events occurring regardless of setting (not only while watching television or in the car for example, where staring is more likely behavioral); and events that occur in the midst of an activity such as chewing or playing.
  • #6 Absence (Petite Mal) Seizures: Symptoms, Risk, and Causes
    https://www.healthline.com/health/epilepsy/absence-petit-mal-seizures
    Petit mal or absence seizures most commonly affect young children younger than 12, but can also affect adults. Absence seizures tend to cause shorter and milder symptoms than grand mal seizures. […] Absence seizures, sometimes called petit mal seizures, are brief, usually lasting less than 20 seconds. They cause symptoms that may be barely noticeable. People having these seizures may appear like theyre daydreaming or zoning out. […] According to the Epilepsy Foundation, an advocacy group, absence seizures generally last less than 10 to 20 seconds. Typical symptoms include: staring off into space, smacking the lips together, fluttering eyelids, stopping speech in the middle of a sentence, making sudden hand movements, leaning forward or backward, appearing suddenly motionless. […] You can often tell if a person is experiencing an absence seizure because they become unaware of their surroundings, touch, and sound. Absence seizures typically occur suddenly and with no warning. This makes taking precautions to protect the person having a seizure important.
  • #7 Absence Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499867/
    Absence seizures are classified as a type of generalized onset nonmotor seizure with clinical symptoms, including unresponsiveness and staring spells. Absence seizures are generally seen in children aged 5 to 15 years and occur in multiple genetic generalized epilepsies, including childhood absence epilepsy (CAE), juvenile absence epilepsy (JAE), and juvenile myoclonic epilepsy (JME). […] While primarily affecting children, absence seizures can persist into adulthood, significantly impacting daily functioning and quality of life if left untreated. […] Absence seizures are brief seizures characterized by a behavioral arrest correlating with generalized 3-Hz spike and wave discharges on electroencephalogram (EEG). […] Absence seizures have often been considered „benign” due to their nonconvulsive nature; however, up to 60% of children with absence seizures have severe neuropsychic manifestations, including disturbances in attention, cognition, memory, and mood.
  • #8 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #9 Absence Seizure: What It Is, Triggers, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22194-absence-seizures
    Absence seizures are short seizures that happen without warning and usually last for a few seconds. They typically start without warning and last between three and 15 seconds. Absence seizure symptoms are temporary but can stop you in your tracks. The symptoms of absence seizures include: Brief sudden staring spell or blank stare. Loss of awareness. Complete stop in activity during the seizure (like talking or walking). Occasional eyelid fluttering or nodding of the head or other automatic hand or mouth movements (like lip smacking). […] After the seizure, you may: Continue doing the activity that you stopped doing during the seizure. Feel that you missed things happening around you. Not notice that anything happened, and feel awake and like you’re thinking clearly. Absence seizure symptoms can happen several times per day or occasionally for weeks to months.
  • #10 Absence Seizures | Kettering Health
    https://ketteringhealth.org/conditions/absence-seizures/
    The easiest way to spot an absence seizure is to look for a blank stare that lasts for a few seconds. People in the midst of having an absence seizure don’t speak, listen, or appear to understand. An absence seizure doesn’t typically cause you to fall down. You could be in the middle of making dinner, walking across the room, or typing an e-mail when you have the seizure. Then suddenly you snap out of it and continue as you were before the seizure. […] These are other possible symptoms of an absence seizure: Being very still, Smacking the lips or making a chewing motion with the mouth, Fluttering the eyelids, Stopping activity such as suddenly not talking or moving, Suddenly returning to activity when the seizure ends. […] Most absence seizures last less than 15 seconds. It’s rare for an absence seizure to last longer than 15 minutes. They can happen suddenly without any warning signs. […] If you have trouble managing your absence seizures, you may want to work more closely with your healthcare provider to find a better way to treat them.
  • #11 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #12 Absence Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499867/
    The age of onset of CAE is usually between 4 and 10 years, with a peak between the ages of 5 and 7. […] Regarding the clinical presentation, family members and teachers usually describe brief spells in which the child has a loss of awareness, is unresponsive, and has a behavioral arrest. Bystanders often describe the patient during these spells as having a blank stare. Episodes frequently occur, often 10 to 30 times throughout the day. […] Spells usually last between 4 and 30 seconds. […] These seizures are not preceded by an aura and do not have a postictal state. […] The first-line treatment for absence epilepsy is ethosuximide. […] Approximately 60% of patients with CAE eventually achieve seizure freedom.
  • #13 Absence Seizure: What It Is, Triggers, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22194-absence-seizures
    Absence seizures are short seizures that happen without warning and usually last for a few seconds. They typically start without warning and last between three and 15 seconds. Absence seizure symptoms are temporary but can stop you in your tracks. The symptoms of absence seizures include: Brief sudden staring spell or blank stare. Loss of awareness. Complete stop in activity during the seizure (like talking or walking). Occasional eyelid fluttering or nodding of the head or other automatic hand or mouth movements (like lip smacking). […] After the seizure, you may: Continue doing the activity that you stopped doing during the seizure. Feel that you missed things happening around you. Not notice that anything happened, and feel awake and like you’re thinking clearly. Absence seizure symptoms can happen several times per day or occasionally for weeks to months.
  • #14 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #15 Absence Seizure: What It Is, Triggers, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22194-absence-seizures
    Absence seizures are short seizures that happen without warning and usually last for a few seconds. They typically start without warning and last between three and 15 seconds. Absence seizure symptoms are temporary but can stop you in your tracks. The symptoms of absence seizures include: Brief sudden staring spell or blank stare. Loss of awareness. Complete stop in activity during the seizure (like talking or walking). Occasional eyelid fluttering or nodding of the head or other automatic hand or mouth movements (like lip smacking). […] After the seizure, you may: Continue doing the activity that you stopped doing during the seizure. Feel that you missed things happening around you. Not notice that anything happened, and feel awake and like you’re thinking clearly. Absence seizure symptoms can happen several times per day or occasionally for weeks to months.
  • #16 A Practical Guide to Treatment of Childhood Absence Epilepsy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6394437/
    A history of staring is common in children, and staring spells are not always absence seizures or other seizure types. Compared to staring spells that are not seizures, absence seizures are more likely to be noted by a professional such as a teacher rather than a parent, and are not responsive to external stimuli such as touch. […] EEG features at baseline which are atypical for CAE, such as background slowing, other background abnormalities, or spike wave discharges slower than 3 Hz, are associated with poorer response to treatment and less favorable long-term outcomes.
  • #17 Absence Seizures: Symptoms and Causes – Children’s Health
    https://www.childrens.com/health-wellness/absence-seizures-in-children
    Symptoms of absence seizures in children include: Staring in a daze, Eyelids flutter, roll or blink quickly, Chewing, even if there is nothing in the mouth, Fumbling, Wandering, Shaking, Mumbling or having trouble talking. […] Children with absence seizures can experience seizure multiple times a day. Most children aren’t aware of when they experience an absence seizure. It may cause the child’s eyelids to flutter, roll or blink quickly, or the child may make a smacking sound with their lips.
  • #18 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #19 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #20 Absence Seizures (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/childhood-absence-epilepsy.html
    An absence seizure is a type of generalized seizure. During this type of seizure, the person is not aware of what is going on around them. Someone who is having an absence seizure suddenly stops what they are doing and stares into space. They also might: open and close their lips subtly or make chewing motions […] Someone can have many absence seizures in a day. They dont remember having the seizures, but older kids may realize that they lost time around them. These seizures often may be mistaken for daydreaming or inattention. Absence seizures usually last about 20 seconds. After the seizure, most children return to what they were doing just before the seizure started as if nothing happened. But they won’t recall what just happened, or if someone talked to them during the seizure. Rarely, a child might feel confused or tired, have a headache, or have other symptoms. This is called the postictal (post-IK-tul) phase. It usually lasts just a few minutes, but can be longer. This phase can happen if a child has many absence seizures in one day or they happen too close together.
  • #21 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Afterward, there’s usually no memory of the incident. But if the seizure is longer, the person may be aware of missed time. Some people have many episodes daily. When it happens, it can interfere with school or daily activities. […] A child may have absence seizures for some time before an adult notices them. This is because the seizures are so brief. A decline in a child’s learning ability may be the first sign of the seizure disorder. Teachers may say the child has trouble paying attention or that a child is often daydreaming. […] While most children outgrow absence seizures, some: Must take antiseizure medicines throughout life. Eventually have full convulsions, such as generalized tonic-clonic seizures. […] Other complications can include: Trouble with learning. Trouble with behavior. Social isolation. Injury during the seizure.
  • #22 Disease – Absence seizure
    https://ssl.adam.com/content.aspx?productid=117&pid=1&gid=000696&site=makatimed.adam.com&login=MAKA1603
    An absence seizure is the term for a type of seizure involving staring spells. This type of seizure is a brief (usually less than 15 seconds) change in awareness due to abnormal electrical activity in the brain. […] Most absence seizures last only a few seconds. They often involve staring episodes. The episodes may: […] Unexplained difficulties in school and learning difficulties may be the first sign of absence seizures. […] During the seizure, the person may: […] The person usually does not fall during the seizure. […] Right after the seizure, the person is usually: […] Specific symptoms of typical absence seizures may include: […] Some absence seizures begin slower and last longer. These are called atypical absence seizures. Symptoms are similar to regular absence seizures, but muscle activity changes may be more noticeable.
  • #23 Focal aware seizures (auras) | Epilepsy Society
    https://epilepsysociety.org.uk/about-epilepsy/epileptic-seizures/focal-aware-seizures-auras
    Absence seizures are more common in children than adults and can happen very frequently. During an absence a person becomes unconscious for a short time. They may look blank and stare, or their eyelids might flutter. They will not respond to what is happening around them. If they are walking they may carry on walking but will not be aware of what they are doing.
  • #24 Symptoms of Absence Seizures: Typical and Atypical
    https://www.webmd.com/epilepsy/understanding-absence-seizure-symptoms
    Atypical seizures are similar to typical seizures, except they tend to begin more slowly, last longer (up to a few minutes), and can include slumping or falling down. The person may also feel confused for a short time after regaining consciousness. While the cause of atypical seizures may be unidentifiable, they are sometimes traced to abnormalities in the brain that were present at birth (congenital) or from trauma or injury, or from complications from liver or kidney disease. This type of seizures may continue into adulthood.
  • #25 Absence seizure Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/absence-seizure
    An absence seizure is the term for a type of seizure involving staring spells. This type of seizure is a brief (usually less than 15 seconds) change in awareness due to abnormal electrical activity in the brain. […] Most absence seizures last only a few seconds. They often involve staring episodes. The episodes may: Occur many times a day, Occur for weeks to months before being noticed, Interfere with school and learning, Be mistaken for lack of attention, daydreaming or other misbehavior. Unexplained difficulties in school and learning difficulties may be the first sign of absence seizures. […] Specific symptoms of typical absence seizures may include: Changes in muscle activity, such as no movement, hand fumbling, fluttering eyelids, lip smacking, chewing; Changes in alertness (consciousness), such as staring episodes, lack of awareness of surroundings, sudden halt in movement, talking, and other awake activities. Some absence seizures begin slower and last longer. These are called atypical absence seizures. Symptoms are similar to regular absence seizures, but muscle activity changes may be more noticeable.
  • #26 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #27 Absence Epilepsy: Childhood and Juvenile Onset – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/absence-epilepsy/
    Atypical absence seizures tend to last longer than typical absence seizures. Atypical absence seizures can last up to twenty seconds or more. The start and end of them is somewhat vague. […] During atypical absence seizures, the patient may also experience: Loss of muscle tone, Body stiffening, Eyelid fluttering, Eye deviation (atypical movement). […] Symptoms depend on the type of seizure. There are two types of seizures most seen in CAE or JAE: Atypical absence seizures appear slightly differently on an electroencephalogram (EEG) compared to typical absence seizures. […] Absence seizures are the primary type. The child abruptly stops any activity. They stare off into space for a few seconds. They are unresponsive to touch or verbal stimulation. These seizures are associated with loss of awareness.
  • #28 Absence seizure Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/absence-seizure
    An absence seizure is the term for a type of seizure involving staring spells. This type of seizure is a brief (usually less than 15 seconds) change in awareness due to abnormal electrical activity in the brain. […] Most absence seizures last only a few seconds. They often involve staring episodes. The episodes may: Occur many times a day, Occur for weeks to months before being noticed, Interfere with school and learning, Be mistaken for lack of attention, daydreaming or other misbehavior. Unexplained difficulties in school and learning difficulties may be the first sign of absence seizures. […] Specific symptoms of typical absence seizures may include: Changes in muscle activity, such as no movement, hand fumbling, fluttering eyelids, lip smacking, chewing; Changes in alertness (consciousness), such as staring episodes, lack of awareness of surroundings, sudden halt in movement, talking, and other awake activities. Some absence seizures begin slower and last longer. These are called atypical absence seizures. Symptoms are similar to regular absence seizures, but muscle activity changes may be more noticeable.
  • #29 Absence and Atypical Absence Seizures – LGS Foundation
    https://www.lgsfoundation.org/atypical-absence-seizures/
    Absence Seizures cause lapses in awareness and sometimes involve staring. These used to be called petit mal seizures. They begin abruptly and only last a few seconds. They are common in children and may be mistaken for daydreaming. The person will stare but they may be able to respond a bit. […] Symptoms of absence seizures can be difficult to pick up in a person with other cognitive or behavioral problems. It may be hard to tell what is due to a seizure or other behaviors. These seizures may begin and end gradually. This is different from the sudden start and stop of a typical absence seizure. Falling during a seizure is also more common than it is during typical absence seizures. Atypical absence seizures usually last 5 to 30 seconds and can occur in clusters. […] Absence and atypical absence seizures are very difficult to identify without a video EEG. Pediatric epilepsy specialists who reviewed this video agreed this is a good example of an atypical absence seizure with myoclonic activity. […] An EEG is the only way to determine the exact seizure type.
  • #30 Absence seizure Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/absence-seizure
    An absence seizure is the term for a type of seizure involving staring spells. This type of seizure is a brief (usually less than 15 seconds) change in awareness due to abnormal electrical activity in the brain. […] Most absence seizures last only a few seconds. They often involve staring episodes. The episodes may: Occur many times a day, Occur for weeks to months before being noticed, Interfere with school and learning, Be mistaken for lack of attention, daydreaming or other misbehavior. Unexplained difficulties in school and learning difficulties may be the first sign of absence seizures. […] Specific symptoms of typical absence seizures may include: Changes in muscle activity, such as no movement, hand fumbling, fluttering eyelids, lip smacking, chewing; Changes in alertness (consciousness), such as staring episodes, lack of awareness of surroundings, sudden halt in movement, talking, and other awake activities. Some absence seizures begin slower and last longer. These are called atypical absence seizures. Symptoms are similar to regular absence seizures, but muscle activity changes may be more noticeable.
  • #31 Symptoms of Absence Seizures: Typical and Atypical
    https://www.webmd.com/epilepsy/understanding-absence-seizure-symptoms
    Atypical seizures are similar to typical seizures, except they tend to begin more slowly, last longer (up to a few minutes), and can include slumping or falling down. The person may also feel confused for a short time after regaining consciousness. While the cause of atypical seizures may be unidentifiable, they are sometimes traced to abnormalities in the brain that were present at birth (congenital) or from trauma or injury, or from complications from liver or kidney disease. This type of seizures may continue into adulthood.
  • #32 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #33 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #34 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #35 Symptoms of Absence Seizures: Typical and Atypical
    https://www.webmd.com/epilepsy/understanding-absence-seizure-symptoms
    Because absence seizures are usually quite brief, tend to strike during times of inactivity, and closely resemble daydreaming or „being off in one’s own world,” they may pass unnoticed by others and go undiagnosed for some time. […] Typical absence seizures begin abruptly, last 10 to 30 seconds, and resolve themselves without complication. The person simply stops in their tracks (and/or mid-sentence), and enters a staring, trance-like state during which they are unresponsive and unaware of their surroundings. They may make fumbling movements with their hands, and there may also be eyelid fluttering, lip smacking, or chewing motions during the seizure. When the seizure passes, the person returns to normal, with no memory of the event and no lingering effects. Generally speaking, typical absence seizures have no discernible cause.
  • #36 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #37 Photosensitive Seizures | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/photosensitive-seizures.html
    Absence seizures are characterized by a blank stare while the seizure is occurring. Other symptoms: […] Stop walking and start again a few seconds later […] Stop talking in mid-sentence and start again a few seconds later […] Lip smacking […] Eyelid flutters […] Chewing motions […] Finger rubbing […] Small movements of both hands.
  • #38 Absence Seizure: What It Is, Triggers, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22194-absence-seizures
    Absence seizures are short seizures that happen without warning and usually last for a few seconds. They typically start without warning and last between three and 15 seconds. Absence seizure symptoms are temporary but can stop you in your tracks. The symptoms of absence seizures include: Brief sudden staring spell or blank stare. Loss of awareness. Complete stop in activity during the seizure (like talking or walking). Occasional eyelid fluttering or nodding of the head or other automatic hand or mouth movements (like lip smacking). […] After the seizure, you may: Continue doing the activity that you stopped doing during the seizure. Feel that you missed things happening around you. Not notice that anything happened, and feel awake and like you’re thinking clearly. Absence seizure symptoms can happen several times per day or occasionally for weeks to months.
  • #39 Absence and Atypical Absence Seizures – LGS Foundation
    https://www.lgsfoundation.org/atypical-absence-seizures/
    Absence Seizures cause lapses in awareness and sometimes involve staring. These used to be called petit mal seizures. They begin abruptly and only last a few seconds. They are common in children and may be mistaken for daydreaming. The person will stare but they may be able to respond a bit. […] Symptoms of absence seizures can be difficult to pick up in a person with other cognitive or behavioral problems. It may be hard to tell what is due to a seizure or other behaviors. These seizures may begin and end gradually. This is different from the sudden start and stop of a typical absence seizure. Falling during a seizure is also more common than it is during typical absence seizures. Atypical absence seizures usually last 5 to 30 seconds and can occur in clusters. […] Absence and atypical absence seizures are very difficult to identify without a video EEG. Pediatric epilepsy specialists who reviewed this video agreed this is a good example of an atypical absence seizure with myoclonic activity. […] An EEG is the only way to determine the exact seizure type.
  • #40 Absence Seizure: What It Is, Triggers, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22194-absence-seizures
    On average, typical absence seizures last between three and 15 seconds. Atypical absence seizures can last longer. […] Even though they’re short, absence seizures can be very distracting. You may not have many or they can be frequent. Some people report having 10 to more than 30 absence seizures a day. The frequency can reach into the hundreds per day, especially among children. They can interfere with your ability to learn and focus on a task. But treatment options are available, and medications are usually successful at managing symptoms.
  • #41 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    An absence seizure causes a loss of consciousness for 30 seconds or less. It is barely noticeable, if at all. The person simply stops moving or speaking. He or she stares straight ahead blankly, and does not respond to questions. The seizure is short and hard to notice. A person can have 50 or 100 absence seizures a day, without them being detected. […] After the seizure ends, the child has no memory of the episode. He or she usually resumes previous activities as if nothing happened. There usually is no confusion or recovery period after an absence seizure. […] A child with absence epilepsy can have many brief seizures during a school day. As a result, the disorder may interfere seriously with their ability to pay attention and participate in class. […] Outside the classroom, the child’s symptoms may affect the ability to concentrate when he or she plays sports or does homework. Seizures also may interrupt conversations with friends or family members.
  • #42 Absence seizure – Wikipedia
    https://en.wikipedia.org/wiki/Absence_seizure
    Absence seizures are characterized by a brief loss and return of consciousness, generally not followed by a period of lethargy (i.e. without a notable postictal state). […] The clinical manifestations of absence seizures vary significantly among patients. Impairment of consciousness is the essential symptom, and may be the only clinical symptom, but this can be combined with other manifestations. The hallmark of the absence seizures is abrupt and sudden-onset impairment of consciousness, interruption of ongoing activities, a blank stare, possibly a brief upward rotation of the eyes. […] Mixed forms of absence frequently occur. These seizures can happen a few times a day or in some cases, hundreds of times a day, to the point that the person cannot concentrate in school or in other situations requiring sustained, concentrated attention.
  • #43 Absence Seizures: Overview, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1183858-overview
    The generalized idiopathic epilepsies have age-related onset. Onset of absence seizures in children with symptomatic generalized epilepsies depends on the underlying disorder. While many of these disorders may have their onset at an early (prenatal, perinatal, or postnatal) age, absence seizures do not appear until later in childhood. An example is the Lennox-Gastaut syndrome. The cause may be a genetic disorder or a perinatal insult, but the absence seizures do not present until age 18 years. […] Childhood absence epilepsy onset is at age 48 years, with peak onset at age 67 years. Juvenile absence epilepsy onset is generally around puberty. Actual age of onset may vary, depending on whether pyknoleptic or nonpyknoleptic seizures occur. Juvenile myoclonic epilepsy has a more varied age of onset, but 79% of patients have an onset between the ages of 12 and 18 years. Because the absence and myoclonic seizures are brief, they often go unrecognized, and many patients do not present until they experience a tonic-clonic seizure.
  • #44 Absence Seizures: Overview, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1183858-overview
    Absence seizures occur in idiopathic and symptomatic generalized epilepsies. Among the idiopathic generalized epilepsies, absence seizures are seen in childhood absence epilepsy (pyknolepsy), juvenile absence epilepsy, and juvenile myoclonic epilepsy. The seizures in these conditions are called typical absence seizures and are usually associated with generalized 3-4 Hz spike-and-slow-wave complexes on EEG. […] In childhood absence epilepsy, seizures are frequent and brief, lasting just a few seconds (pyknoleptic). Some children can have many such seizures per day. In other epilepsies, particularly those with an older age of onset, the seizures can last several seconds to minutes and may occur only a few times a day; these are called nonpyknoleptic or spanioleptic absence seizures. […] In the cryptogenic or symptomatic generalized epilepsies, absence seizures are often associated with slow spike-wave complexes of 1.5-2.5 Hz; these are also called sharp-and-slow-wave complexes. These seizures may be associated with loss of axial tone and head nodding; a fall may occur. Increased tone, autonomic features, and automatisms may also be seen. Absence seizures associated with slow spike-wave complexes are called atypical absence seizures.
  • #45 Absence seizure (petit mal): Definition, symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/absence-seizure
    Absence seizures typically become less frequent over time. Childhood absence epilepsy and other causes of absence seizures rarely continue into adulthood. […] Most absence seizures last a few seconds before the person makes an immediate recovery. Some children will experience as many as 50-100 absence seizures in a day. […] Absence seizures cause a short lapse in consciousness. Experiencing multiple seizures throughout the day can be confusing and cause problems at school or when socializing with friends. […] The outlook for absence seizures varies depending on their frequency and severity. In most cases, the child will stop experiencing absence seizures by adulthood. […] In other cases, children may require long-term medications to treat their absence seizures. Ongoing treatment can help prevent seizures and reduce their impact on the person’s daily life.
  • #46 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #47 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    Most children outgrow absence epilepsy, usually by their teen years. Before then, anti-epilepsy medication is used to control the symptoms. […] The outlook is very good. Most children with absence epilepsy eventually outgrow the condition without complications. With proper treatment, the child can have a normal life at school and at home.
  • #48 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #49 Absence Seizures: Overview, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1183858-overview
    In symptomatic generalized epilepsies, atypical absence seizures often occur in the setting of developmental delay or intellectual disability. Other seizure types can be present in the patient, such as myoclonic, tonic, atonic, tonic-clonic, and even partial seizures. […] Physical and neurologic findings are normal in children with idiopathic generalized epilepsies. Having the child hyperventilate for 3-5 minutes can often provoke absence seizures. This procedure can easily be performed in the clinic or office, and the result is diagnostic. […] On clinical examination, typical absence seizures appear as brief staring spells. Patients have no warning or postictal phase, and if engaged in gross motor activity, such as walking, they may stop and stand motionless or they may continue to walk. Children are not responsive during the seizure and have no memory of what happened during the attack; they are generally unaware that a seizure has occurred.
  • #50 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #51 New Onset Absence Seizures in Adults – What You Need to Know
    https://www.drugs.com/cg/new-onset-absence-seizures-in-adults.html
    Absence seizures, or petit mal seizures, are a type of epilepsy. […] Absence seizures can happen more than 100 times each day. […] Absence seizures usually do not cause serious health problems. […] A sudden stop in talking or doing something for a few seconds. […] Blankly staring ahead without being aware of your surroundings. […] Not responding when spoken to. […] Repeated movements, such as lip-smacking or eyelid fluttering. […] After the seizure ends, suddenly continuing the activity you were doing before the seizure started. […] Medicines will help control the seizures. […] You may need medicine daily to prevent seizures. […] Lack of sleep can trigger an absence seizure. […] You continue to have absence seizures even with treatment.
  • #52 Seizure Phases | Epilepsy FoundationFacebookInstagramTwitterPhoneEmailFacebookInstagramTwitter
    https://epilepsyfoundation.org.au/understanding-epilepsy/seizures/seizure-phases/
    Prodrome stage During the prodromal stage some people can tell when a seizure is on its way. They may notice some early signs hours or even days before the seizure starts. Not all people experience this stage. Some common signs can include: Mood changes, Anxiety, Feeling lightheaded, Difficulty sleeping, Difficulty staying focused, Behaviour changes. […] Auras are generally considered an early part of the seizure. Symptoms of an aura may include: D déjà vu (a sense that something has happened before when in fact it hasn’t), Jamais vu (a feeling that you’re seeing something you know well for the first time), Odd smells, sounds or tastes, Dizziness, Vision difficulties, Numbness or ‘pins and needles’ in parts of the body, Nausea, Headache, Panic, Feelings of intense fear. […] The middle (ictal) stage of a seizure is called the ictal phase. It’s the time from the first symptom to the end of the seizure activity. It is during this time that intense electrical activity is occurring in the brain. Some common signs of this phase include: Loss of awareness, Memory lapse, Feeling confused, Difficulty hearing, Odd smells, sounds or tastes, Difficulty speaking or saying strange words, Twitching, Loss of muscle control, Repeated movements (such as lip smacking or chewing), Body convulsions, Racing heart, Trouble breathing.
  • #53 Absence Seizures: Causes, Symptoms & Treatment
    https://manhattanmedicalarts.com/conditions-symptoms/absence-seizures
    Absence seizures symptoms are frequently accompanied by modest yet unique sign, such as: […] During an absence seizure, people may appear absent or disconnected from their environment for a few seconds. […] A blank, vacuous gaze is typical throughout the episode, often accompanied by eye blinking or little movements. […] The person may not recollect the seizure afterward. […] Absence seizures, or petit mal seizures, are short episodes of altered consciousness, frequently manifesting as a blank stare and lack of awareness. […] These seizures, common in epilepsy, can significantly disrupt day-by-day lifestyles, although they appear minor. […] They represent 2-5% of all epilepsy cases and primarily affect children between the ages of 4 and 14. […] Absence seizures are often triggered with the aid of genetic elements, brain abnormalities, or metabolic imbalances including low blood sugar. […] They can be diagnosed through tests like an electroencephalogram (EEG), medical history, and neurological exams. […] Early intervention improves seizure control in about 80% of cases.
  • #54 Childhood Absence Epilepsy: Symptoms and Treatment | Ada
    https://ada.com/conditions/childhood-absence-epilepsy/
    Without treatment, seizures tend to occur frequently, sometimes up to 200 times per day. They are more likely to occur when a child is bored, tired or not engaged in an activity and become less likely when a child is concentrating. […] Seizures are unlikely to impact upon the development of the affected child. However, children who experience a high frequency of seizures may develop some learning difficulties. […] Good to know: It is possible for children to be affected by atypical absence seizures. This less common type of seizure tends to begin and end more gradually than a typical absence seizure. Generally, they also last longer, though they can last anywhere between 5 and 30 seconds. […] The prognosis for childhood absence epilepsy is very good. Through the use of medication, approximately 70 percent of children with the condition will have their seizures completely controlled by mid-adolescence. In around 10 percent of cases, children with CAE will develop other types of seizures in adolescence, most commonly clonic-tonic seizures. Similarly to CAE, these seizures can usually be controlled effectively through the use of medication.
  • #55 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    Most children outgrow absence epilepsy, usually by their teen years. Before then, anti-epilepsy medication is used to control the symptoms. […] The outlook is very good. Most children with absence epilepsy eventually outgrow the condition without complications. With proper treatment, the child can have a normal life at school and at home.
  • #56 Absence (Petite Mal) Seizures: Symptoms, Risk, and Causes
    https://www.healthline.com/health/epilepsy/absence-petit-mal-seizures
    About 57-74% of children outgrow absence seizures by adolescence. Taking antiseizure medication can usually help to control seizures and avoid social or academic difficulties. […] Absence seizures persist past childhood in about 10 to 15 percent of children. Another 10-15% have persistent absence seizures with either generalized tonic-clonic or myoclonic seizures. About 5-15% develop juvenile myoclonic epilepsy.
  • #57 Absence Epilepsy: Childhood and Juvenile Onset – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/absence-epilepsy/
    Without treatment, these seizures often affect a child’s: School performance, Safety, Relationships. […] Most often, seizures are well controlled. Children with CAE do not require lifelong treatment. Studies have shown that 57 to 74% of patients become seizure-free when they are older. […] Some patients continue to have absence seizures that are resistant to medication. Up to 40% of them are at risk of developing generalized tonic-clonic seizures.
  • #58 Absence (Petite Mal) Seizures: Symptoms, Risk, and Causes
    https://www.healthline.com/health/epilepsy/absence-petit-mal-seizures
    About 57-74% of children outgrow absence seizures by adolescence. Taking antiseizure medication can usually help to control seizures and avoid social or academic difficulties. […] Absence seizures persist past childhood in about 10 to 15 percent of children. Another 10-15% have persistent absence seizures with either generalized tonic-clonic or myoclonic seizures. About 5-15% develop juvenile myoclonic epilepsy.
  • #59 Absence Seizure Causes, Duration, What Happens, and More
    https://www.webmd.com/epilepsy/understanding-absence-seizure-basics
    Affecting about two of every 1,000 people, absence seizures (formerly called ”petit mal” seizures) are caused by abnormal and intense electrical activity in the brain. […] Typically, this type of seizure lasts between 10 and 30 seconds. The person, most often a child aged 5 to 15, abruptly stops whatever they’re doing (talking, walking) and appears to „stare into space.” Absence seizures rarely cause a true convulsion in which the person falls down or collapses. Despite briefly losing consciousness, the person recovers fully with no lingering confusion or other ill effects. These „spells” may occur infrequently or several times per hour. In children, absence seizures may interfere with learning and are often misinterpreted as daydreaming or inattention. About a quarter of people who have absence seizures will develop another type of generalized seizure called tonic-clonic seizures (formerly called ”grand mal” seizures). The vast majority of children, however, will outgrow them.
  • #60 Absence Epilepsy: Childhood and Juvenile Onset – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/absence-epilepsy/
    Without treatment, these seizures often affect a child’s: School performance, Safety, Relationships. […] Most often, seizures are well controlled. Children with CAE do not require lifelong treatment. Studies have shown that 57 to 74% of patients become seizure-free when they are older. […] Some patients continue to have absence seizures that are resistant to medication. Up to 40% of them are at risk of developing generalized tonic-clonic seizures.
  • #61 Absence (Petite Mal) Seizures: Symptoms, Risk, and Causes
    https://www.healthline.com/health/epilepsy/absence-petit-mal-seizures
    About 57-74% of children outgrow absence seizures by adolescence. Taking antiseizure medication can usually help to control seizures and avoid social or academic difficulties. […] Absence seizures persist past childhood in about 10 to 15 percent of children. Another 10-15% have persistent absence seizures with either generalized tonic-clonic or myoclonic seizures. About 5-15% develop juvenile myoclonic epilepsy.
  • #62 CURE Epilepsy Discovery: Investigating Mechanism of the Progression of Epilepsy – CURE Epilepsy
    https://www.cureepilepsy.org/research-discoveries/investigating-mechanism-of-the-progression-of-epilepsy/
    The team discovered that abnormal neuronal activity during absence seizures may lead to changes in myelination. The changes in myelin, in turn, lead to seizure progression. […] Progression of seizures has a direct correlation to the severity of epilepsy as time progresses. […] Dr. Knowles hypothesized that changes in myelin might influence seizure severity in absence seizure spreading. […] Absence seizures are characterized by the abrupt stopping of behavior (behavioral arrest) and a specific pattern of brain activity. Even though absence seizures are typically brief, an individual can have an extremely high number of seizures in a day. […] The current study by Dr. Knowles group is the first that clearly shows that abnormal neuronal activity (in this case, due to absence seizures) can lead to harmful changes in myelination, which contribute to the continued progression of epilepsy.
  • #63 Absence status epilepticus | MedLink Neurology
    https://www.medlink.com/articles/absence-status-epilepticus
    Absence status epilepticus is a prolonged, generalized absence seizure that usually lasts for hours and can even last for days. […] The cardinal symptom is the altered content of consciousness while the patient is usually fully alert and partly responsive. […] Absence status epilepticus may also appear de novo, mainly in adults without a previous history of epilepsy. […] Absence status epilepticus is often misdiagnosed as focal status epilepticus, confusional nonepileptic condition, or epileptic prodrome. […] Medication nonadherence is a common trigger for the occurrence of absence status epilepticus. […] Frequently, absence status epilepticus occurs because of ill-advised antiepileptic drug treatment such as tiagabine, carbamazepine, gabapentin, oxcarbazepine, pregabalin, or vigabatrin.
  • #64 Absence status epilepticus | MedLink Neurology
    https://www.medlink.com/articles/absence-status-epilepticus
    Absence status epilepticus may terminate spontaneously or with a generalized tonic-clonic seizure. […] Absence status epilepticus is a prolonged, generalized absence seizure, which is defined as lasting more than half an hour but usually lasts for hours and even for days. […] The cardinal symptom shared by all cases of absence status is the altered content of consciousness while the patient is alert and partly responsive. […] Prognosis depends on the type of absence status epilepticus and syndrome. […] Absence status epilepticus often terminates spontaneously or with a generalized tonic-clonic seizure. […] In most cases of idiopathic absence status epilepticus, the patient is aware of this condition and the risk of ending with a convulsive seizure. […] The outcome of absence status epilepticus is syndrome and cause related. It is relatively good in most of the idiopathic generalized epilepsies with absences but usually fatal in comatose or critically ill patients.
  • #65 Absence status epilepticus | MedLink Neurology
    https://www.medlink.com/articles/absence-status-epilepticus
    Absence status epilepticus is a prolonged, generalized absence seizure that usually lasts for hours and can even last for days. […] The cardinal symptom is the altered content of consciousness while the patient is usually fully alert and partly responsive. […] Absence status epilepticus may also appear de novo, mainly in adults without a previous history of epilepsy. […] Absence status epilepticus is often misdiagnosed as focal status epilepticus, confusional nonepileptic condition, or epileptic prodrome. […] Medication nonadherence is a common trigger for the occurrence of absence status epilepticus. […] Frequently, absence status epilepticus occurs because of ill-advised antiepileptic drug treatment such as tiagabine, carbamazepine, gabapentin, oxcarbazepine, pregabalin, or vigabatrin.
  • #66 Absence status epilepticus | MedLink Neurology
    https://www.medlink.com/articles/absence-status-epilepticus
    Absence status epilepticus may terminate spontaneously or with a generalized tonic-clonic seizure. […] Absence status epilepticus is a prolonged, generalized absence seizure, which is defined as lasting more than half an hour but usually lasts for hours and even for days. […] The cardinal symptom shared by all cases of absence status is the altered content of consciousness while the patient is alert and partly responsive. […] Prognosis depends on the type of absence status epilepticus and syndrome. […] Absence status epilepticus often terminates spontaneously or with a generalized tonic-clonic seizure. […] In most cases of idiopathic absence status epilepticus, the patient is aware of this condition and the risk of ending with a convulsive seizure. […] The outcome of absence status epilepticus is syndrome and cause related. It is relatively good in most of the idiopathic generalized epilepsies with absences but usually fatal in comatose or critically ill patients.
  • #67 Childhood Absence Epilepsy | Symptoms, Diagnosis & Treatment
    https://www.cincinnatichildrens.org/health/c/childhood-absence-epilepsy
    Childhood absence epilepsy (CAE) is a type of epilepsy that causes absence (ab-SONCE) seizures. Children will stare and stop what they are doing. They may blink quickly or move their hands. These seizures last only a few seconds. They may look like daydreaming or inattention. […] CAE seizures involve staring spells. The child is not aware or cannot respond during these spells. You may also see: The child’s eyes may roll up briefly. Each episode lasts seconds. The child goes back to normal right away. The child often is not even aware that anything has happened. Seizures can occur hundreds of times per day in some children. […] A small number of children with JAE epilepsy will have one or more episodes of absence status epilepticus. This is when an absence seizure lasts for several hours or even a day or more. Absence status epilepticus is a medical emergency. The child needs rescue medication to stop the seizure. […] Most children grow out of CAE and can eventually stop their medication. They likely will have no problems with seizures later in life. Their seizures often disappear by mid-adolescence.
  • #68 Absence Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499867/
    Absence seizures are classified as a type of generalized onset nonmotor seizure with clinical symptoms, including unresponsiveness and staring spells. Absence seizures are generally seen in children aged 5 to 15 years and occur in multiple genetic generalized epilepsies, including childhood absence epilepsy (CAE), juvenile absence epilepsy (JAE), and juvenile myoclonic epilepsy (JME). […] While primarily affecting children, absence seizures can persist into adulthood, significantly impacting daily functioning and quality of life if left untreated. […] Absence seizures are brief seizures characterized by a behavioral arrest correlating with generalized 3-Hz spike and wave discharges on electroencephalogram (EEG). […] Absence seizures have often been considered „benign” due to their nonconvulsive nature; however, up to 60% of children with absence seizures have severe neuropsychic manifestations, including disturbances in attention, cognition, memory, and mood.
  • #69 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Afterward, there’s usually no memory of the incident. But if the seizure is longer, the person may be aware of missed time. Some people have many episodes daily. When it happens, it can interfere with school or daily activities. […] A child may have absence seizures for some time before an adult notices them. This is because the seizures are so brief. A decline in a child’s learning ability may be the first sign of the seizure disorder. Teachers may say the child has trouble paying attention or that a child is often daydreaming. […] While most children outgrow absence seizures, some: Must take antiseizure medicines throughout life. Eventually have full convulsions, such as generalized tonic-clonic seizures. […] Other complications can include: Trouble with learning. Trouble with behavior. Social isolation. Injury during the seizure.
  • #70 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    An absence seizure causes a loss of consciousness for 30 seconds or less. It is barely noticeable, if at all. The person simply stops moving or speaking. He or she stares straight ahead blankly, and does not respond to questions. The seizure is short and hard to notice. A person can have 50 or 100 absence seizures a day, without them being detected. […] After the seizure ends, the child has no memory of the episode. He or she usually resumes previous activities as if nothing happened. There usually is no confusion or recovery period after an absence seizure. […] A child with absence epilepsy can have many brief seizures during a school day. As a result, the disorder may interfere seriously with their ability to pay attention and participate in class. […] Outside the classroom, the child’s symptoms may affect the ability to concentrate when he or she plays sports or does homework. Seizures also may interrupt conversations with friends or family members.
  • #71 Absence Seizure – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499867/
    Absence seizures are classified as a type of generalized onset nonmotor seizure with clinical symptoms, including unresponsiveness and staring spells. Absence seizures are generally seen in children aged 5 to 15 years and occur in multiple genetic generalized epilepsies, including childhood absence epilepsy (CAE), juvenile absence epilepsy (JAE), and juvenile myoclonic epilepsy (JME). […] While primarily affecting children, absence seizures can persist into adulthood, significantly impacting daily functioning and quality of life if left untreated. […] Absence seizures are brief seizures characterized by a behavioral arrest correlating with generalized 3-Hz spike and wave discharges on electroencephalogram (EEG). […] Absence seizures have often been considered „benign” due to their nonconvulsive nature; however, up to 60% of children with absence seizures have severe neuropsychic manifestations, including disturbances in attention, cognition, memory, and mood.
  • #72 Epilepsy with Absence Seizures (Causes, Symptoms, and Treatment)
    https://patient.info/brain-nerves/epilepsy-and-seizures/epilepsy-with-absence-seizures
    It is common to have several absence seizures per day. If they are frequent, a child’s education may suffer, as they will not be able to concentrate on lessons. […] The outlook (prognosis) is good. Absence seizures rarely continue into adulthood. This type of epilepsy is not usually associated with any other brain (neurological) condition. Children with this type of epilepsy have the same range of intelligence and other abilities as other children. Treatment usually controls the seizures so that education and other aspects of life can be normal. Absence seizure treatment can often be stopped in the teenage years. […] However, some children with absence seizures will have persistent seizures or develop other types of seizures (such as convulsive seizures (tonic-clonic seizures) later in life).
  • #73 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    An absence seizure causes a loss of consciousness for 30 seconds or less. It is barely noticeable, if at all. The person simply stops moving or speaking. He or she stares straight ahead blankly, and does not respond to questions. The seizure is short and hard to notice. A person can have 50 or 100 absence seizures a day, without them being detected. […] After the seizure ends, the child has no memory of the episode. He or she usually resumes previous activities as if nothing happened. There usually is no confusion or recovery period after an absence seizure. […] A child with absence epilepsy can have many brief seizures during a school day. As a result, the disorder may interfere seriously with their ability to pay attention and participate in class. […] Outside the classroom, the child’s symptoms may affect the ability to concentrate when he or she plays sports or does homework. Seizures also may interrupt conversations with friends or family members.
  • #74 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Afterward, there’s usually no memory of the incident. But if the seizure is longer, the person may be aware of missed time. Some people have many episodes daily. When it happens, it can interfere with school or daily activities. […] A child may have absence seizures for some time before an adult notices them. This is because the seizures are so brief. A decline in a child’s learning ability may be the first sign of the seizure disorder. Teachers may say the child has trouble paying attention or that a child is often daydreaming. […] While most children outgrow absence seizures, some: Must take antiseizure medicines throughout life. Eventually have full convulsions, such as generalized tonic-clonic seizures. […] Other complications can include: Trouble with learning. Trouble with behavior. Social isolation. Injury during the seizure.
  • #75 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Afterward, there’s usually no memory of the incident. But if the seizure is longer, the person may be aware of missed time. Some people have many episodes daily. When it happens, it can interfere with school or daily activities. […] A child may have absence seizures for some time before an adult notices them. This is because the seizures are so brief. A decline in a child’s learning ability may be the first sign of the seizure disorder. Teachers may say the child has trouble paying attention or that a child is often daydreaming. […] While most children outgrow absence seizures, some: Must take antiseizure medicines throughout life. Eventually have full convulsions, such as generalized tonic-clonic seizures. […] Other complications can include: Trouble with learning. Trouble with behavior. Social isolation. Injury during the seizure.
  • #76 What do you know about absence seizures?
    https://www.epsyhealth.com/seizure-epilepsy-blog/what-do-you-know-about-absence-seizures
    An absence seizure is a seizure where you lose consciousness and stare blankly for a few seconds. You then regain consciousness and carry on as you were before. You will not be aware that you had a seizure, but may feel confused. […] Absence seizures symptoms include: Blank stares that last a few seconds, before you carry on as before. You usually wont fall down. You will not speak, listen or understand what people are saying to you. You may stop speaking mid sentence. Sometimes you might smack your lips, look like you are chewing something or flutter your eyelids. […] Absence seizures in children can be challenging because they make it harder to pay attention at school. Children with absence seizures sometimes start misbehaving because they are feeling confused or frustrated. Teachers may also misunderstand what is happening and think the child is simply not focusing.
  • #77 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    An absence seizure causes a loss of consciousness for 30 seconds or less. It is barely noticeable, if at all. The person simply stops moving or speaking. He or she stares straight ahead blankly, and does not respond to questions. The seizure is short and hard to notice. A person can have 50 or 100 absence seizures a day, without them being detected. […] After the seizure ends, the child has no memory of the episode. He or she usually resumes previous activities as if nothing happened. There usually is no confusion or recovery period after an absence seizure. […] A child with absence epilepsy can have many brief seizures during a school day. As a result, the disorder may interfere seriously with their ability to pay attention and participate in class. […] Outside the classroom, the child’s symptoms may affect the ability to concentrate when he or she plays sports or does homework. Seizures also may interrupt conversations with friends or family members.
  • #78 Seizure Phases | Epilepsy FoundationFacebookInstagramTwitterPhoneEmailFacebookInstagramTwitter
    https://epilepsyfoundation.org.au/understanding-epilepsy/seizures/seizure-phases/
    The final post-ictal stage occurs after the active (ictal) part of the seizure. This is the recovery stage and during this phase any physical after effects of the seizure are felt. The type of seizure and the part of the brain involved will determine how long it takes for a person to return to their usual self. Some common signs of this phase include: Confusion, Lack of consciousness, Tiredness (fatigue), Exhaustion, Headache, Loss of bladder or bowel control, Fear and anxiety, Frustration, Shame or embarrassment, Thirst, Nausea, Sore muscles, Weakness in parts of the body, Injury (head, cuts, broken bones).
  • #79 What do you know about absence seizures?
    https://www.epsyhealth.com/seizure-epilepsy-blog/what-do-you-know-about-absence-seizures
    An absence seizure is a seizure where you lose consciousness and stare blankly for a few seconds. You then regain consciousness and carry on as you were before. You will not be aware that you had a seizure, but may feel confused. […] Absence seizures symptoms include: Blank stares that last a few seconds, before you carry on as before. You usually wont fall down. You will not speak, listen or understand what people are saying to you. You may stop speaking mid sentence. Sometimes you might smack your lips, look like you are chewing something or flutter your eyelids. […] Absence seizures in children can be challenging because they make it harder to pay attention at school. Children with absence seizures sometimes start misbehaving because they are feeling confused or frustrated. Teachers may also misunderstand what is happening and think the child is simply not focusing.
  • #80 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #81 Absence seizure – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
    Absence seizures involve brief, sudden lapses of consciousness. They’re more common in children than in adults. […] A person having an absence seizure may stare blankly into space for a few seconds. Then the person typically returns quickly to being alert. This type of seizure usually doesn’t lead to physical injury. But injury can happen if someone is driving a car or riding a bike when the seizure happens. […] A simple absence seizure causes a vacant stare, which may be mistaken for a brief lapse in attention. The seizure lasts about 10 seconds, though it may last as long as 30 seconds. There’s no confusion, headache or drowsiness after the seizure. […] Symptoms of absence seizures include: A sudden stop in activity without falling. Lip smacking. Eyelid flutters. Chewing motions. Finger rubbing. Small movements of both hands.
  • #82 Epilepsy | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/epilepsy/
    Absence seizures mainly affect children, but they also occur in adults. They cause the person to lose awareness of their surroundings, usually for up to 15 seconds. The person will seem to stare vacantly into space. Some people will flutter their eyes or smack their lips. The person will have no memory of the seizure. […] Absences can occur several times a day. They may affect a child’s performance at school. They can be dangerous if they occur at a critical time, like crossing a busy road.
  • #83 Epilepsy | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/epilepsy/
    Absence seizures mainly affect children, but they also occur in adults. They cause the person to lose awareness of their surroundings, usually for up to 15 seconds. The person will seem to stare vacantly into space. Some people will flutter their eyes or smack their lips. The person will have no memory of the seizure. […] Absences can occur several times a day. They may affect a child’s performance at school. They can be dangerous if they occur at a critical time, like crossing a busy road.
  • #84 Absence (Petite Mal) Seizures: Symptoms, Risk, and Causes
    https://www.healthline.com/health/epilepsy/absence-petit-mal-seizures
    Absence seizures typically last less than 10 seconds but can last up to 20 seconds. The person returns to their usual behavior after the seizure. They usually wont remember the past few moments or the seizure itself. […] While absence seizures occur in the brain, they dont cause brain damage. Absence seizures wont have any effect on intelligence in most children. Some children may experience learning difficulties because of their lapses in consciousness. Others may think theyre daydreaming or not paying attention. […] In most cases, the only long-term effects of an absence seizure occur if the person falls or gets injured. Falls arent typical during this type of seizure. A person can experience absence seizures a dozen or more times per day without any negative effects. […] Children with absence seizures often outgrow the condition. Absence seizures can continue, however. Some people progress to longer or more intense seizures.
  • #85 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    Most children outgrow absence epilepsy, usually by their teen years. Before then, anti-epilepsy medication is used to control the symptoms. […] The outlook is very good. Most children with absence epilepsy eventually outgrow the condition without complications. With proper treatment, the child can have a normal life at school and at home.
  • #86 Absence Seizures: Overview, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1183858-overview
    Atypical absence seizures, which occur in patients with symptomatic generalized epilepsies, are usually longer than typical absences and often have more gradual onset and resolution. In symptomatic generalized epilepsies, physical and neurologic findings may be abnormal, reflecting the underlying disorder. […] The prognosis for the primary generalized epilepsies depends on the particular epileptic syndrome. Because seizures, particularly generalized tonic-clonic seizures, may occur well after patients appear to achieve good control, a long seizure-free period should be achieved before discontinuation of therapy is considered. […] The remission rate for childhood absence epilepsy is good; 80% of patients respond to medication. Complete remission rates vary widely, perhaps dependent on the length of follow-up. Generalized tonic-clonic seizures may develop in up to 40% of children with childhood absence epilepsy. Persistence of seizures is more likely in those with generalized tonic-clonic seizures. Early onset of absence seizures, quick response to therapy, and normal EEG background are good prognostic signs.
  • #87 Absence (Petite Mal) Seizures: Symptoms, Risk, and Causes
    https://www.healthline.com/health/epilepsy/absence-petit-mal-seizures
    About 57-74% of children outgrow absence seizures by adolescence. Taking antiseizure medication can usually help to control seizures and avoid social or academic difficulties. […] Absence seizures persist past childhood in about 10 to 15 percent of children. Another 10-15% have persistent absence seizures with either generalized tonic-clonic or myoclonic seizures. About 5-15% develop juvenile myoclonic epilepsy.
  • #88 Absence Seizures: Overview, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1183858-overview
    Atypical absence seizures, which occur in patients with symptomatic generalized epilepsies, are usually longer than typical absences and often have more gradual onset and resolution. In symptomatic generalized epilepsies, physical and neurologic findings may be abnormal, reflecting the underlying disorder. […] The prognosis for the primary generalized epilepsies depends on the particular epileptic syndrome. Because seizures, particularly generalized tonic-clonic seizures, may occur well after patients appear to achieve good control, a long seizure-free period should be achieved before discontinuation of therapy is considered. […] The remission rate for childhood absence epilepsy is good; 80% of patients respond to medication. Complete remission rates vary widely, perhaps dependent on the length of follow-up. Generalized tonic-clonic seizures may develop in up to 40% of children with childhood absence epilepsy. Persistence of seizures is more likely in those with generalized tonic-clonic seizures. Early onset of absence seizures, quick response to therapy, and normal EEG background are good prognostic signs.
  • #89 Juvenile Absence Epilepsy (JAE) | Symptoms, Diagnosis and Treatment
    https://www.cincinnatichildrens.org/health/j/juvenile-absence-epilepsy
    Juvenile absence epilepsy (JAE) is a type of epilepsy that causes absence (ab-SONCE) seizures. During a seizure, the child will stare and stop what they are doing. They may blink quickly or move their hands. They may look like they are daydreaming or not paying attention. These seizures last only a few seconds. Absence epilepsy is sometimes called petit mal epilepsy. […] JAE seizures usually involve staring spells. The child is not aware or responsive during these spells. You may also notice: The child’s eyes may roll up briefly. Each seizure episode lasts seconds. The child goes back to normal right away. The child often doesn’t realize a seizure has happened. […] A small number of children with JAE epilepsy will have one or more episodes of absence status epilepticus. This is when an absence seizure lasts for several hours or even a day or more. Absence status epilepticus is a medical emergency. The child needs rescue medication to stop the seizure. […] Children typically do not grow out of JAE. The condition lasts into adulthood. However, many people can control the seizures with medication.
  • #90 Absence Seizures: Overview, Etiology, Epidemiology
    https://emedicine.medscape.com/article/1183858-overview
    Juvenile myoclonic epilepsy carries a high risk of generalized tonic-clonic seizures. Despite excellent control with relatively small doses of an AED, the relapse rate is greater than 90%. Patients with juvenile myoclonic epilepsy generally need to be treated for life, although occasional patients achieve control with careful attention to lifestyle issues (eg, adequate sleep, abstinence from alcohol).
  • #91 Absence seizures – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/115
    Typical absence seizure: behavioral arrest or staring, lasting 5 to 10 seconds, interrupting otherwise normal activity. Can be hyperventilation-induced. […] Atypical absence seizures: less distinct beginning and end, not usually precipitated by hyperventilation. […] Most typical absence seizures are medically responsive, and childhood absence epilepsy (CAE) tends to remit by adulthood. […] Atypical absence seizures tend to be medically refractory and associated with intellectual disability. […] Typical absence seizures are approximately 5 to 10 seconds in duration, have minimal, if any, postictal confusion, and are usually precipitated by hyperventilation and sometimes by photic stimulation. […] Atypical absence seizures have a less distinct beginning and end and are not usually precipitated by hyperventilation or photic stimulation, and the EEG shows generalized slow (2.5 Hz) spike-and-wave with a diffusely slow background. […] The classic epilepsy syndrome with atypical absence seizures is Lennox-Gastaut syndrome, characterized by multiple seizure types (severe tonic seizures, myoclonic-atonic seizures, and absence seizures), intellectual disability, and slow spike-and-wave on EEG.
  • #92 Absence Seizure Causes, Duration, What Happens, and More
    https://www.webmd.com/epilepsy/understanding-absence-seizure-basics
    Affecting about two of every 1,000 people, absence seizures (formerly called ”petit mal” seizures) are caused by abnormal and intense electrical activity in the brain. […] Typically, this type of seizure lasts between 10 and 30 seconds. The person, most often a child aged 5 to 15, abruptly stops whatever they’re doing (talking, walking) and appears to „stare into space.” Absence seizures rarely cause a true convulsion in which the person falls down or collapses. Despite briefly losing consciousness, the person recovers fully with no lingering confusion or other ill effects. These „spells” may occur infrequently or several times per hour. In children, absence seizures may interfere with learning and are often misinterpreted as daydreaming or inattention. About a quarter of people who have absence seizures will develop another type of generalized seizure called tonic-clonic seizures (formerly called ”grand mal” seizures). The vast majority of children, however, will outgrow them.
  • #93 Absence Epilepsy: Childhood and Juvenile Onset – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/absence-epilepsy/
    Without treatment, these seizures often affect a child’s: School performance, Safety, Relationships. […] Most often, seizures are well controlled. Children with CAE do not require lifelong treatment. Studies have shown that 57 to 74% of patients become seizure-free when they are older. […] Some patients continue to have absence seizures that are resistant to medication. Up to 40% of them are at risk of developing generalized tonic-clonic seizures.
  • #94 Absence seizure (petit mal): Definition, symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/absence-seizure
    Absence seizures typically become less frequent over time. Childhood absence epilepsy and other causes of absence seizures rarely continue into adulthood. […] Most absence seizures last a few seconds before the person makes an immediate recovery. Some children will experience as many as 50-100 absence seizures in a day. […] Absence seizures cause a short lapse in consciousness. Experiencing multiple seizures throughout the day can be confusing and cause problems at school or when socializing with friends. […] The outlook for absence seizures varies depending on their frequency and severity. In most cases, the child will stop experiencing absence seizures by adulthood. […] In other cases, children may require long-term medications to treat their absence seizures. Ongoing treatment can help prevent seizures and reduce their impact on the person’s daily life.
  • #95 Absence Seizures (Petit Mal Seizures) – Harvard Health
    https://www.health.harvard.edu/a_to_z/absence-seizures-petit-mal-seizures-a-to-z
    Most children outgrow absence epilepsy, usually by their teen years. Before then, anti-epilepsy medication is used to control the symptoms. […] The outlook is very good. Most children with absence epilepsy eventually outgrow the condition without complications. With proper treatment, the child can have a normal life at school and at home.