ABSTRACT

To review the mechanisms of synaptic transmis-◾ sion and the types and functions of neurotrans-

mitter molecules

To learn definitions for ◾ coma, stupor and confusion To develop the ability to distinguish the various ◾ causes of transient loss of consciousness

To learn the main mechanisms involved in the ◾ production of epileptic seizures

To review the classification of epileptic seizure ◾ types

To learn the basis of electroencephalographic ◾ (EEG) “brain-wave” activity and the main EEG

abnormalities associated with epileptic disorders

To review the principal mechanisms of action of the ◾ various anti-epileptic drugs

Didi’s neurological disorder is clearly quite different from

what you have encountered in previous chapters . His symp-

toms are intermittent rather than relentlessly progressive;

he appears to be completely normal when his symptoms

are not present . Nevertheless, it is important that you begin

the problem-solving process by reviewing the clinical data

provided and working through the history, examination,

localization and etiology worksheets in the accompany-

ing DVD . Once you have completed this process, you are

ready to proceed with the remainder of the chapter .