Epilepsy history and symptoms: Difference between revisions
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{{Epilepsy}} | {{Epilepsy}} | ||
{{CMG}}; {{AE}} {{Fs}} | {{CMG}}; {{AE}} {{Fs}} | ||
==Overview== | ==Overview== | ||
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]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
===History=== | ===History=== | ||
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[[File:Attaque; Periode Epileptoide. Planche XVII. Wellcome L0074938.jpg|400px|none|thumb|https://wellcomeimages.org/indexplus/obf_images/2b/0f/0a119c657a876dab0f1c6a9e8793.jpg]] | |||
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[[File:Bittentongue.JPG|400px|none|thumb|James Heilman, MD]] | |||
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* 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> | * 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 | ** Family member with epilepsy | ||
** Brain traumatic injuries | ** [[Traumatic brain injury|Brain traumatic injuries]] | ||
** Meningitis and encephalitis | ** [[Meningitis]] and [[encephalitis]] | ||
** Febrile seizure in the childhood | ** [[Febrile seizure]] in the childhood | ||
** Enuresis | ** [[Enuresis]] | ||
** Drug abuse | ** Drug abuse | ||
** Previous episode of seizure: | ** Previous episode of [[seizure]]: | ||
*** When was the first episode? | *** When was the first episode? | ||
*** Tongue biting? | *** Tongue biting? | ||
*** Urine or fecal incontinence? | *** [[Urine]] or [[fecal incontinence]]? | ||
*** Post-ictal drowsiness? | *** Post-ictal [[drowsiness]]? | ||
*** Seizure characteristics? | *** [[Seizure]] characteristics? | ||
*** Triggers? | *** Triggers? | ||
*** Eyes condition? (open or close) | *** Eyes condition? (open or close) | ||
*** Amnesia? | *** [[Amnesia]]? | ||
* | * | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
* Common symptoms of epileptic seizures include:<ref name=":0" /> | * Common symptoms of epileptic [[Seizure|seizures]] include:<ref name=":0" /> | ||
**They happen in a paroxysmal manner such as: | **They happen in a paroxysmal manner such as: | ||
***Sudden fall | ***Sudden fall | ||
***Sudden loss of consciousness | ***Sudden [[loss of consciousness]] | ||
***automatic behaviors (repetitive movement) | ***[[Automatic behavior|automatic behaviors]] (repetitive movement) | ||
**Seizures are often similar to each other in a patient in the aspect of duration and general characteristics. | **[[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. | **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 (sensory, autonomic, or psychic symptoms) before seizure such as: | **Patients may have aura ([[sensory]], [[autonomic]], or psychic symptoms) before [[seizure]] such as: | ||
***Nausea | ***[[Nausea]] | ||
***Warmth sensation | ***Warmth [[Sensations|sensation]] | ||
***Spark visualization | ***Spark [[Visualization (cam)|visualization]] | ||
**There might be triggers for the seizure such as: | **There might be triggers for the [[seizure]] such as: | ||
***Alcohol consumption | ***[[Alcohol]] consumption | ||
***Sleep deprivation | ***[[Sleep deprivation]] | ||
***Fever | ***[[Fever]] | ||
**There can be post-ictal drowsiness in patients. | **There can be [[post-ictal]] [[drowsiness]] in patients. | ||
**There can be tongue biting which mostly happens in seizures with impaired consciousness. | **There can be tongue biting which mostly happens in [[Seizure|seizures]] with impaired [[consciousness]]. | ||
**urine and fecal incontinence may be present. | **[[urine]] and [[fecal incontinence]] may be present. | ||
** | ** | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
* 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> | * 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> | ||
** Confusion | ** [[Confusion]] | ||
** Psychosis | ** [[Psychosis]] | ||
** Lethargy | ** [[Lethargy]] | ||
** Coma | ** [[Coma]] | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
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[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Latest revision as of 21:37, 29 July 2020
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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
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
 |
 |
- 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
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.