Module 10

Module 10a: Change in Seizure Activity

Moico Module 7 Alt

Updates to this module are made as changes are observed, but are also prompted in the 6 month update.

No Code Question Response
10a.1 6MoSeizAge Current age
A.2.3 6MoSeizType What type of seizures have they experienced?(Check all that apply) 1 – Absence Seizures (“Petit Mal Seizures”),
2 -Myoclonic seizures,
3 – Atonic Seizures (“Drop Attacks”),
4 –  Tonic, Clonic and Tonic-Clonic (Formerly called Grand Mal) Seizures
5 – Unknown/unaware of type
A.2.4 6MoSeizStatus What is the current seizure status? 1 – Controlled without medication;
2 – Controlled with medication;
3 – Mostly controlled with occasional breakthroughs;
4 – Controlled with diet;
5 – Uncontrolled with medication;
6 – Uncontrolled with medication;
7 – Unknown
A.2.5 6MoSeizBreak What do you feel is the source of breakthrough seizures? Check all that apply 1 – Illness/infection without fever;
2 – Illness/infection with fever;
3 – Co-medication/drug interaction;
4 – Tiredness/ fatigue;
5 – Emotions or overstimulation, e.g. stress, anxiety, or excitement;
6 – Hot weather, overheating or dehydration;
7 – Hormonal;
8 – Other;
9 – Unknown
A.2.6 6MoSeizFreqA How often do seizures occur? 1- Daily;
2- Weekly;
3– Monthly;
4 – Yearly;
5 – Rarely (less than once a year)
A.2.7 6MoSeizFreqB How many seizures do they typically have in this time frame? 1 – Less than 5; 
2 –  5-10; 
3 – 10-20; 
4 – 20-50; 
5 – More than 50
A.2.8 6MoSeizTrigger What events, if any, trigger their seizures? 1 – Illness/infection without fever;
2 – Illness/infection with fever;
3 – Co-medication/drug interaction;
4 – Tiredness/ fatigue;
5 – Emotions or overstimulation, e.g. stress, anxiety, or excitement;
6 – Hot weather, overheating or dehydration;
7 – Hormonal;
8 – Other;
9 – Unknown
A.2.9 6MoSeizTrigOth Please specify
A.2.10 6MoSeizMed Was medication given? Yes – please report in the medications and interventions module,
No –
A.2.11 6MoSeizHosp Was hospitalisation required? Yes – please report in the medical history and hospitalisations module,
No–
A.2.12 6MoSeizMedOn Was ongoing medication prescribed at this stage? Yes – please report in the medications and interventions module,
No –
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