Clinical seizure disorder which is easy to be confused with epilepsy

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Epilepsy is one of the clinical features of recurrent seizures, and many clinical diseases, involving multiple systems. In recent years, man

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Epilepsy is one of the clinical features of recurrent seizures, and many clinical diseases, involving multiple systems. In recent years, many scholars have put forward the concept of non epileptic seizures, the so-called non epileptic seizures is not accompanied by EEG epileptiform discharge of paroxysmal clinical seizures. At present, the non epileptic seizures are divided into two categories, that is, the psychological non epileptic seizures and physical non epileptic seizures. Psychogenic non epileptic seizures are common or psychogenic mental factors caused by the following attack:

(a) Pseudoseizure (hysteria)

1, often before the onset of obvious mental or psychological factors;

2, the performance of a variety of somatic symptoms, a variety of sensory or motor disorders;

3, can be accompanied by anxiety, tension, fear or other mental factors;

4, the attack time, conscious, tongue bite and urinary incontinence;

5, EEG examination without epileptic discharge or epileptic seizure characteristics;

6, antiepileptic drug treatment is invalid, psychological suggestion or anti anxiety treatment effective;

7, a small number of patients with epilepsy can be combined with such seizures.

(two) breath attack

1, more common in children under the age of 5;

2, before the onset of frequent mental factors, such as crying, frightened, angry; then exhale breath;

3, face purple or pale, with urinary incontinence;

4, a small number of children with limb convulsions, systemic rigidity, and even loss of consciousness;

5, the onset time is short, generally no more than 1 minutes;

6, no special treatment.

(three) emotional cross rubbing

1, more common in girls aged 1-3;

2, attack two cross leg adduction, upper and lower friction;

3, facial redness, eyes staring, sweating;

4, conscious, on the outside of normal reaction;

5, can stop on their own, but also be forced to stop the outside world;

6, EEG normal.

(four) non epileptic seizures

1, common in infancy, more than stop at the age of 1;

2, when sober onset, can be expressed as gaze, clenching, stretched his neck, shook his head movements;

3, conscious.

In short, in the clinical diagnosis of epilepsy, we should pay attention to the history of the collection, ask patients and witnesses to understand whether there is a precursor before the attack, attack characteristics and the situation after the attack. If necessary, repeated EEG or video EEG monitoring. For frequent seizures and can not be qualitative, can be diagnosed; the use of antiepileptic drugs for treatment, observation. Seizure response to drug therapy, and psychogenic non epileptic seizures is invalid.

 

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