# Which of the following is true concerning a young epileptic who has a grand mal seizure in the dental office? A. It is generally fatal B. It is best treated by injecting insulin C. They generally recover if restrained from self-injury and oxygen is maintained D. It can be prevented with antibiotics The correct answer is C. They generally recover if restrained from self-injury and oxygen is maintained Of the multiple types of seizures, the tonic-clonic (grand mal) type is the most frightening and the one that most often requires treatment. Grand mal seizures are manifested in four phases: the prodromal phase, the aura, the convulsive (ictal) phase, and the postictal phase. The prodromal phase consists of subtle changes that may occur over minutes to hours. It is usually not clinically evident to the clinician or the patient. The aura is a neurologic experience that the patient goes through immediately prior to the seizure. It is specifically related to trigger areas of the brain ...