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What distinguishes a grand mal seizure from other types of seizures?

  1. It is brief and mild

  2. It involves severe, violent contractions of muscles

  3. It is chronic and recurring

  4. It does not affect consciousness

The correct answer is: It involves severe, violent contractions of muscles

The distinguishing feature of a grand mal seizure, also known as a generalized tonic-clonic seizure, is the involvement of severe, violent contractions of muscles. During this type of seizure, the individual typically loses consciousness and experiences intense muscle stiffness (tonic phase) followed by rhythmic muscle contractions (clonic phase). This contrasts sharply with other seizure types, which may involve less severe symptoms, can be brief and mild in duration, or may not affect consciousness at all. For example, absence seizures result in short lapses of awareness without the physical convulsions seen in a grand mal seizure. Additionally, while some seizures can be chronic and recurring, grand mal seizures specifically describe the intensity and physical manifestation of the muscle contractions, making them particularly notable in the context of seizure classification.