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 6th 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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