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</div><div><span>Bilateral tonic-clonic seizure</span></div></div>
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</a><h1 class="with-also" itemprop="name">Bilateral tonic-clonic seizure</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Bilateral tonic-clonic seizure is a type of seizure that involves the entire body. It is also called grand mal seizure. The terms generalized seizure, <a test="test" href="./003200.htm">convulsion</a>, or <a test="test" href="./000694.htm">epilepsy</a> are most often associated with bilateral tonic-clonic seizures.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Seizures result from electrical overactivity in the brain. Bilateral tonic-clonic seizures may occur in people of any age. They can occur once (single episode). Or, they can occur as part of a repeated, chronic illness (epilepsy). Some seizures are due to psychological problems (psychogenic or non-epileptic).</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Many people with generalized bilateral tonic-clonic seizures have an aura with one or more symptoms before the seizure such as:</p><ul><li>Vision, taste, smell, or sensory changes.</li><li>Seeing, smelling, or sometimes hearing things that are not there (<a test="test" href="./003258.htm">hallucinations</a>).</li><li><a test="test" href="./003093.htm">Dizziness</a> or other symptoms.</li></ul><p>Some people have a focal onset seizure (only affecting one part of the body) that becomes a bilateral tonic-clonic seizure.</p><p>The seizures often result in rigid muscles (tonic phase). This is followed by violent <a test="test" href="./003193.htm">muscle contractions</a> (clonic phase). Other symptoms that occur during the seizure may include:</p><ul><li>Biting the cheek or tongue</li><li>Clenched teeth or jaw</li><li>Loss of urine or stool control (incontinence)</li><li>
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Stopped breathing or <a test="test" href="./003075.htm">difficulty breathing</a></li><li><a test="test" href="./003215.htm">Blue skin color</a> (cyanosis)</li></ul><p>After the seizure, the person may have:</p><ul><li><a test="test" href="./003205.htm">Confusion</a></li><li><a test="test" href="./003208.htm">Drowsiness</a> or sleepiness that lasts for 1 hour or longer (called the post-ictal state)</li><li>Loss of memory (amnesia) about the seizure episode</li><li><a test="test" href="./003024.htm">Headache</a></li><li>Weakness of one side of the body for a few minutes to a few hours following seizure (called Todd paralysis) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Your health care provider will perform a physical exam. This will include a detailed check of the brain and nervous system.</p><p>An <a test="test" href="./003931.htm">electroencephalogram</a> (EEG) will be done to check the electrical activity in the brain. People with seizures often have abnormal electrical activity seen on this test. In some cases, the test shows the area in the brain where the seizures start. The brain may appear normal after a seizure or between seizures.</p><p>Blood and urine tests may also be ordered to check for other health problems that may be causing the seizures.</p><p><a test="test" href="./003786.htm">Head CT</a> or <a test="test" href="./003791.htm">MRI</a> scan may be done to find the cause and location of the problem in the brain.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p><a test="test" href="./000694.htm">Treatment</a> for tonic-clonic seizures includes medicines, changes in lifestyle for <a test="test" href="../patientinstructions/000128.htm">adults</a> and <a test="test" href="../patientinstructions/000127.htm">children</a>, such as activity and diet, and sometimes surgery. Your provider can tell you more about these options.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Seizure - tonic-clonic; Seizure - grand mal; Grand mal seizure; Seizure - generalized; Epilepsy - generalized seizure</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19590t.jpg" alt="First aid convulsions, part 1" title="First aid convulsions, part 1" class="side-img"/><a href="../presentations/100212_1.htm">Convulsions - first aid - series</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Abou-Khalil BW, Gallagher MJ, Macdonald RL. Epilepsies. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. <em>Bradley and Daroff's Neurology in Clinical Practice</em>. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 100.</p><p>Kanner AM, Ashman E, Gloss D, et al. Practice guideline update summary: Efficacy and tolerability of the new antiepileptic drugs I: Treatment of new-onset epilepsy: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society. <em>Neurology</em>. 2018;91(2):74-81. PMID: 29898971 <a href="https://pubmed.ncbi.nlm.nih.gov/29898971/" target="_blank">pubmed.ncbi.nlm.nih.gov/29898971/</a>.</p><p>Mikati MA, Tchapyjnikov D, Rathke KM. Seizures in childhood. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. <em>Nelson Textbook of Pediatrics</em>. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 633.</p><p>Wiebe S. The epilepsies. In: Goldman L, Cooney KA, eds. <em>Goldman-Cecil Medicine</em>. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 372.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 3/31/2024</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School at Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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