Can complex partial seizures progress to general seizures?

Complex partial seizures can indeed progress to generalized seizures, a phenomenon known as secondary generalization. During a complex partial seizure, which typically originates in one hemisphere of the brain, the patient may experience altered consciousness and various symptoms related to that specific brain region.

If the electrical activity spreads across both hemispheres, this can result in a generalized seizure, where the entire brain is involved. This progression is significant because it can affect patient management and treatment approaches, as the generalized phase often presents with more severe symptoms, such as loss of consciousness and generalized muscle contractions.

The other options suggest limitations on when generalization might occur, such as age or specific triggers. However, the predominant understanding is that anyone, regardless of age or specific circumstances, who experiences complex partial seizures can potentially develop generalized seizures. Understanding this progression is crucial for effective assessment and management in emergency situations.