Epilepsy history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
m (Bot: Removing from Primary care)
 
(11 intermediate revisions by 2 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Epilepsy}}
{{Epilepsy}}


{{CMG}}; {{AE}} {{Fs}}
{{CMG}}; {{AE}} {{Fs}}
==Overview==
==Overview==
The majority of patients with [disease name] are asymptomatic.
A positive history of family member with epilepsy, [[Traumatic brain injury|brain traumatic injuries]], [[meningitis]] and [[encephalitis]], [[febrile seizure]] in the childhood, [[enuresis]], drug abuse and previous episod of [[seizure]] is suggestive of epilepsy. The most common symptoms of epileptic [[seizure]] include: Paroxysmal manner, similarity to each other in a patient in the aspect of duration and general characteristics, presenting with a motor phenomena which can be accompanied with [[sensory]] and [[autonomic]] manifestation, impaied [[consciousness]], [[aura]] ([[sensory]], [[autonomic]], or psychic symptoms), starting with a triggers, post-ictal [[drowsiness]], [[tongue]] biting and [[urine]] and [[fecal incontinence]].
 
OR
 
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].


==History and Symptoms==
==History and Symptoms==
*The majority of patients with [disease name] are asymptomatic.
OR
*The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
===History===
===History===
Patients with epilepsy may have a positive history of:
{| align="right"
[[Head trauma]]<ref name="pmid11034867">{{cite journal |vauthors=Annegers JF, Coan SP |title=The risks of epilepsy after traumatic brain injury |journal=Seizure |volume=9 |issue=7 |pages=453–7 |date=October 2000 |pmid=11034867 |doi=10.1053/seiz.2000.0458 |url=}}</ref>
|
 
[[File:Attaque; Periode Epileptoide. Planche XVII. Wellcome L0074938.jpg|400px|none|thumb|https://wellcomeimages.org/indexplus/obf_images/2b/0f/0a119c657a876dab0f1c6a9e8793.jpg]]
[[Brain tumor]]<ref name="pmid26948360">{{cite journal |vauthors=Englot DJ, Chang EF, Vecht CJ |title=Epilepsy and brain tumors |journal=Handb Clin Neurol |volume=134 |issue= |pages=267–85 |date=2016 |pmid=26948360 |pmc=4803433 |doi=10.1016/B978-0-12-802997-8.00016-5 |url=}}</ref>
|-
 
|
[[Brain hemorrhage]]<ref name="pmid2761703">{{cite journal |vauthors=Faught E, Peters D, Bartolucci A, Moore L, Miller PC |title=Seizures after primary intracerebral hemorrhage |journal=Neurology |volume=39 |issue=8 |pages=1089–93 |date=August 1989 |pmid=2761703 |doi= |url=}}</ref>
[[File:Bittentongue.JPG|400px|none|thumb|James Heilman, MD]]
 
|}
[[Encephalitis]]<ref name="pmid18754956">{{cite journal |vauthors=Misra UK, Tan CT, Kalita J |title=Viral encephalitis and epilepsy |journal=Epilepsia |volume=49 Suppl 6 |issue= |pages=13–8 |date=August 2008 |pmid=18754956 |doi=10.1111/j.1528-1167.2008.01751.x |url=}}</ref>
* Patients with epilepsy may have a positive history of:<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref><ref name="pmid7818246">{{cite journal |vauthors=Cendes F, Andermann F, Carpenter S, Zatorre RJ, Cashman NR |title=Temporal lobe epilepsy caused by domoic acid intoxication: evidence for glutamate receptor-mediated excitotoxicity in humans |journal=Ann. Neurol. |volume=37 |issue=1 |pages=123–6 |date=January 1995 |pmid=7818246 |doi=10.1002/ana.410370125 |url=}}</ref>
 
** Family member with epilepsy
[[Hypoglycemia]]<ref name="pmid27796422">{{cite journal |vauthors=Dafoulas GE, Toulis KA, Mccorry D, Kumarendran B, Thomas GN, Willis BH, Gokhale K, Gkoutos G, Narendran P, Nirantharakumar K |title=Type 1 diabetes mellitus and risk of incident epilepsy: a population-based, open-cohort study |journal=Diabetologia |volume=60 |issue=2 |pages=258–261 |date=February 2017 |pmid=27796422 |doi=10.1007/s00125-016-4142-x |url=}}</ref>
** [[Traumatic brain injury|Brain traumatic injuries]]
 
** [[Meningitis]] and [[encephalitis]]
[[Hypoxic encephalopathy]]<ref name="pmid7407585">{{cite journal |vauthors=Sloper JJ, Johnson P, Powell TP |title=Selective degeneration of interneurons in the motor cortex of infant monkeys following controlled hypoxia: a possible cause of epilepsy |journal=Brain Res. |volume=198 |issue=1 |pages=204–9 |date=September 1980 |pmid=7407585 |doi= |url=}}</ref>
** [[Febrile seizure]] in the childhood
 
** [[Enuresis]]
[[Stroke]]<ref name="pmid24641717">{{cite journal |vauthors=Chung JM |title=Seizures in the acute stroke setting |journal=Neurol. Res. |volume=36 |issue=5 |pages=403–6 |date=May 2014 |pmid=24641717 |doi=10.1179/1743132814Y.0000000352 |url=}}</ref>
** Drug abuse
 
** Previous episode of [[seizure]]:
===Common Causes===
*** When was the first episode?
[[Cerebral palsy]]<ref name="pmid14755984">{{cite journal |vauthors=Diaconu G, Burlea M, Grigore I, Frasin M |title=[Epilepsy in different types of cerebral palsy] |language=Romanian |journal=Rev Med Chir Soc Med Nat Iasi |volume=107 |issue=1 |pages=136–9 |date=2003 |pmid=14755984 |doi= |url=}}</ref>
*** Tongue biting?
 
*** [[Urine]] or [[fecal incontinence]]?
[[Electrolyte disturbances]]<ref name="pmid11754308">{{cite journal |vauthors=Riggs JE |title=Neurologic manifestations of electrolyte disturbances |journal=Neurol Clin |volume=20 |issue=1 |pages=227–39, vii |date=February 2002 |pmid=11754308 |doi= |url=}}</ref>
*** Post-ictal [[drowsiness]]?
*** [[Seizure]] characteristics?
*** Triggers?
*** Eyes condition? (open or close)
*** [[Amnesia]]?


[[Epileptic encephalopathy - Lennox-Gastaut type]]<ref name="pmid14734932">{{cite journal |vauthors=Markand ON |title=Lennox-Gastaut syndrome (childhood epileptic encephalopathy) |journal=J Clin Neurophysiol |volume=20 |issue=6 |pages=426–41 |date=2003 |pmid=14734932 |doi= |url=}}</ref>
[[Febrile Seizures]]<ref name="pmid11918463">{{cite journal |vauthors=Shinnar S, Glauser TA |title=Febrile seizures |journal=J. Child Neurol. |volume=17 Suppl 1 |issue= |pages=S44–52 |date=January 2002 |pmid=11918463 |doi=10.1177/08830738020170010601 |url=}}</ref>
[[Huntington's]]<ref name="pmid23124580">{{cite journal |vauthors=Cloud LJ, Rosenblatt A, Margolis RL, Ross CA, Pillai JA, Corey-Bloom J, Tully HM, Bird T, Panegyres PK, Nichter CA, Higgins DS, Helmers SL, Factor SA, Jones R, Testa CM |title=Seizures in juvenile Huntington's disease: frequency and characterization in a multicenter cohort |journal=Mov. Disord. |volume=27 |issue=14 |pages=1797–800 |date=December 2012 |pmid=23124580 |doi=10.1002/mds.25237 |url=}}</ref>
[[Intoxication]]<ref name="pmid7818246">{{cite journal |vauthors=Cendes F, Andermann F, Carpenter S, Zatorre RJ, Cashman NR |title=Temporal lobe epilepsy caused by domoic acid intoxication: evidence for glutamate receptor-mediated excitotoxicity in humans |journal=Ann. Neurol. |volume=37 |issue=1 |pages=123–6 |date=January 1995 |pmid=7818246 |doi=10.1002/ana.410370125 |url=}}</ref>
[[Uremia]]<ref name="pmid1469446">{{cite journal |vauthors=D'Hooge R, Pei YQ, Marescau B, De Deyn PP |title=Convulsive action and toxicity of uremic guanidino compounds: behavioral assessment and relation to brain concentration in adult mice |journal=J. Neurol. Sci. |volume=112 |issue=1-2 |pages=96–105 |date=October 1992 |pmid=1469446 |doi= |url=}}</ref>
=== less common causes ===
[[Vitamin deficiency]]<ref name="pmid2044623">{{cite journal |vauthors=Keyser A, De Bruijn SF |title=Epileptic manifestations and vitamin B1 deficiency |journal=Eur. Neurol. |volume=31 |issue=3 |pages=121–5 |date=1991 |pmid=2044623 |doi=10.1159/000116660 |url=}}</ref>
*  
*  
*Drugs: alcohol and other drugs can cause seizure specially if taken with combination to other drugs or if the patient has liver or kidney dysfunction. The type of seizure in these circumstances is mostly generalized tonic clonic seizures.
*[History finding 2]
*[History finding 3]


===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:
* Common symptoms of epileptic [[Seizure|seizures]] include:<ref name=":0" />
*[Symptom 1]
**They happen in a paroxysmal manner such as:
*[Symptom 2]
***Sudden fall
*[Symptom 3]
***Sudden [[loss of consciousness]]
***[[Automatic behavior|automatic behaviors]] (repetitive movement)
**[[Seizures]] are often similar to each other in a patient in the aspect of duration and general characteristics.
**They usually present with a motor phenomena which can be accompanied with [[sensory]] and autonomic manifestation.
**Based on the type of [[seizure]], [[consciousness]] might be impaired or intact.
**Patients may have aura ([[sensory]], [[autonomic]], or psychic symptoms) before [[seizure]] such as:
***[[Nausea]]
***Warmth [[Sensations|sensation]]
***Spark [[Visualization (cam)|visualization]]
**There might be triggers for the [[seizure]] such as:
***[[Alcohol]] consumption
***[[Sleep deprivation]]
***[[Fever]]
**There can be [[post-ictal]] [[drowsiness]] in patients.
**There can be tongue biting which mostly happens in [[Seizure|seizures]] with impaired [[consciousness]].
**[[urine]] and [[fecal incontinence]] may be present.
**


===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of [disease name] include
* Less common symptoms of epilepsy include:<ref name="pmid16606764">{{cite journal |vauthors=Sheth RD, Drazkowski JF, Sirven JI, Gidal BE, Hermann BP |title=Protracted ictal confusion in elderly patients |journal=Arch. Neurol. |volume=63 |issue=4 |pages=529–32 |date=April 2006 |pmid=16606764 |doi=10.1001/archneur.63.4.529 |url=}}</ref>
*[Symptom 1]
** [[Confusion]]  
*[Symptom 2]
** [[Psychosis]]  
*[Symptom 3]
** [[Lethargy]]  
** [[Coma]]
 


==References==
==References==
Line 70: Line 68:
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Neurological disorders]]
[[Category:Neurological disorders]]
Line 76: Line 75:
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Primary care]]

Latest revision as of 21:37, 29 July 2020

Epilepsy Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Epilepsy from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

EEG

X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Epilepsy history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Epilepsy history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Epilepsy history and symptoms

CDC on Epilepsy history and symptoms

Epilepsy history and symptoms in the news

Blogs on Epilepsy history and symptoms

Directions to Hospitals Treating Epilepsy

Risk calculators and risk factors for Epilepsy history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

A positive history of family member with epilepsy, brain traumatic injuries, meningitis and encephalitis, febrile seizure in the childhood, enuresis, drug abuse and previous episod of seizure is suggestive of epilepsy. The most common symptoms of epileptic seizure include: Paroxysmal manner, similarity to each other in a patient in the aspect of duration and general characteristics, presenting with a motor phenomena which can be accompanied with sensory and autonomic manifestation, impaied consciousness, aura (sensory, autonomic, or psychic symptoms), starting with a triggers, post-ictal drowsiness, tongue biting and urine and fecal incontinence.

History and Symptoms

History

https://wellcomeimages.org/indexplus/obf_images/2b/0f/0a119c657a876dab0f1c6a9e8793.jpg
James Heilman, MD

Common Symptoms

Less Common Symptoms


References

  1. ↑ 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
  2. ↑ Cendes F, Andermann F, Carpenter S, Zatorre RJ, Cashman NR (January 1995). "Temporal lobe epilepsy caused by domoic acid intoxication: evidence for glutamate receptor-mediated excitotoxicity in humans". Ann. Neurol. 37 (1): 123–6. doi:10.1002/ana.410370125. PMID 7818246.
  3. ↑ Sheth RD, Drazkowski JF, Sirven JI, Gidal BE, Hermann BP (April 2006). "Protracted ictal confusion in elderly patients". Arch. Neurol. 63 (4): 529–32. doi:10.1001/archneur.63.4.529. PMID 16606764.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Epilepsy_history_and_symptoms&oldid=1637867"