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Controversies in Neurology
January 1998

Nonconvulsive Seizures and Brain Damage

Author Affiliations


Arch Neurol. 1998;55(1):120. doi:10.1001/archneur.55.1.120

MOVEMENT compels attention. No neurological event matches the riveting drama of a generalized convulsion. Few doubt that such a brainstorm can lead to cerebral damage. On the other hand, Young and Jordan and Aminoff all agree that brief absence seizures result in no detectable harm. However, Young and Jordan argue that nonconvulsive seizures can result in brain damage and marshal a formidable, albeit incomplete, array of experimental and clinical evidence to support their view. Aminoff looks at some of the same evidence and is not persuaded. He also points out that treatment of seizures itself carries risks.