Demographic Data |
Relation to Proband |
proband |
Age at Sampling |
6 YR |
Gender |
Male |
Age of Onset(If not a control) |
29 MO |
Age at Diagnosis(If not a control) |
No Data |
Hispanic or Latino/Not Hispanic or Latino |
Not Hispanic/Latino |
Racial Category |
White |
Country |
USA |
Diagnosed By |
No Data |
|
Data Elements |
Clinical Element Type: Epilepsy |
(Baseline) |
Longitudinal Data |
Is this data Longitudinal (Follow-Up) Data? |
yes no |
Family History |
Family history of epilepsy |
present absent unknown (subject adopted) Notes: MOTHER, BROTHER, GREAT AUNT COUSIN |
Family history of other paroxysmal disorder: Migraine |
present absent unknown |
Family history of other paroxysmal disorder: Dystonia |
present absent unknown |
Other family members of this person in NINDS repository |
yes no Notes: SISTER |
Genetic Data of Subject |
Known genetic syndrome |
No Data |
Mutation/s in subject's DNA (if present, describe) |
No Data |
Seizure Type |
Focal motor /autonomic/aura |
yes no |
Focal dyscognitive |
yes no |
Focal evolving to generalized convulsion |
yes no |
Generalized - typical absence |
yes no |
Generalized - atypical absence |
yes no |
Myoclonic |
yes no |
Clonic |
yes no |
Tonic |
yes no Notes: 2 YRS |
Tonic-Clonic |
yes no |
Atonic |
yes no |
Infantile spasms |
yes no |
Unclassifiable seizure type |
yes no |
Status epilepticus |
yes no |
Simple febrile seizure |
yes no |
Complex febrile seizure |
yes no |
Prolonged febrile seizure |
yes no |
Etiology |
Etiology |
Idiopathic |
Specific etiology if known |
Trauma Stroke Hypoxia Meningitis Encephalitis Antenatal insult Error in brain development (specify) Cortical dysphasia Mitochondrial disorder Chromosomal disorder (specify) Other (specify) Unknown
|
Seizure Disorders - Epilepsy: >2 unprovoked seizures (Age of onset, if applicable) |
Yes No |
Seizure Disorders - Single Unprovoked seizure (Age at occurrence, if applicable) |
Yes No |
Seizure Disorders - Febrile seizures (Age of onset, if applicable) |
Yes No |
Seizure Disorders - Status Epilepticus (Age of onset, if applicable) |
Yes No |
Seizure Disorders - Acute Symptomatic Seizures (Age of onset, if applicable) |
Yes No |
Seizure Disorders - Other (Age of onset, if applicable) (Age of onset, if applicable) |
Yes No |
Associated conditions |
Cerebral palsy Mental retardation Autism Dementia Neurodegenerative disorder None known Other (specify)
|
Treatment |
Medically refractory |
yes no unknown |
Surgical treatment |
yes no |
Tests |
EEG |
No Data |
Generalized spike and wave |
No Data |
Focal spikes |
No Data |
Nonepileptiform abnormalities focal slowing |
No Data |
Imaging |
No Data |
Smoking History |
smoking history |
No Data |
years smoking |
No Data |
Miscellaneous |
Neurological examination |
No Data |
Handedness |
No Data |
State Examination (MMSE) score |
No Data |