What is an atonic seizure?
Muscle "tone" is the muscle's normal tension. "Atonic" (a-TON-ik) means
"without tone," so in an atonic seizure, muscles suddenly lose strength. The
eyelids may droop, the head may nod, and the person may drop things and often
falls to the ground. These seizures are also called "drop attacks" or "drop
seizures." The person usually remains conscious. These seizures typically last
less than 15 seconds. They often start in childhood yet last into adulthood.
Many people with atonic seizures are injured when they fall, so they may choose
to use protection such as a helmet.
Another name for this type of seizure is "akinetic" (a-kin-ET-ik), which
means "without movement."
Who is at risk for atonic seizures?
Atonic seizures usually begin in childhood and are often seen in syndromes
like Lennox Gastaut syndrome.
What’s it like to have an atonic seizure?
In an atonic seizure, the person's body will get limp. If sitting, their head
or upper body may slump over. If standing, the person many fall limply to the
ground. People who have seizures that cause them to fall rigidly (like a tree
trunk) often have tonic seizures (involving sudden muscle contraction) rather
than atonic seizures.
What happens after an atonic seizure?
When an atonic seizure ends, the person may or may not be confused. Because
these seizures often results in falls, first aid may be necessary especially if
the seizure led to an injury or bruise. Helmets are often recommended for
patients who have this type of seizure.
If someone has atonic seizures, how often will they occur?
It depends. Patients who have this type of seizure may have one or several in
a row. When an atonic seizure occurs, make sure the person is in a safe place to
prevent injuries from a fall.
How can I tell if someone is having an atonic seizure?
These seizures tend to be fairly obvious because the person if standing may
suddenly drop and fall to the ground. Other times, the person if sitting may
appear to have their head suddenly droop down.
How are atonic seizures diagnosed?
Usually descriptions of the seizures by witnesses will suggest the diagnosis.
Some EEG monitoring may be performed to confirm it. If the seizures persist,
other tests may be used to make sure that changes in the heart rhythm or blood
pressure are not causing the patient to fall down.
How are atonic seizures treated?
There are medicines, devices (Vagus nerve stimulator) , diet ( ketogenic or
modified Atkins) and even surgeries (callosotomy) that can help prevent atonic
seizures.
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