Epilepsy history and symptoms: Difference between revisions
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**They usually present with a motor phenomena which can be accompanied with sensory and autonomic manifestation. | **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. | **Based on the type of seizure, consciousness might be impaired or intact. | ||
**Patients may have aura before seizure such as: | **Patients may have aura (sensory, autonomic, or psychic symptoms) before seizure such as: | ||
***Nausea | ***Nausea | ||
***Warmth sensation | ***Warmth sensation | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
History and Symptoms
History
- Patients with epilepsy may have a positive history of:[1][2]
- Family member with epilepsy
- Brain traumatic injuries
- Meningitis and encephalitis
- Febrile seizure in the childhood
- Enuresis
- Drug abuse
- Previous episode of seizure:
- When was the first episode?
- Tongue biting?
- Urine or fecal incontinence?
- Post-ictal drowsiness?
- Seizure characteristics?
- Triggers?
- Eyes condition? (open or close)
- Amnesia?
Common Symptoms
- Common symptoms of epileptic seizures include:[1]
- They happen in a paroxysmal manner such as:
- Sudden fall
- Sudden loss of consciousness
- 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 sensation
- Spark 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 seizures with impaired consciousness.
- urine and fecal incontinence may be present.
- They happen in a paroxysmal manner such as:
Less Common Symptoms
- Less common symptoms of epilepsy include:[3]
- Confusion
- Psychosis
- Lethargy
- Coma
References
- ↑ 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
- ↑ 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.
- ↑ 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.