Neuro

Question 1

Psychogenic non epileptic seizure
Non motor features

Answer 1

> 5 min
Asynchronous with a stop start
Paradoxically worse on treatment
No change in lactate
Lack of physiological response
Generalised seizure activities with normal awareness

Question 2

Motor / examination findings during PNES

Answer 2

Atypical seizure like activity back arching, thrashing, side to side head
Yelling
Pelvic thrusting
Eye closure
I whispering
Crying

Question 3

2 risk factors for non epileptic seizure

Answer 3

Female
History of abuse
PTSD
Personality traits

Question 4

SAH medication improves mortality

Answer 4

Nimodipine 60mg po 4 hourly
Vasospasm
Calcium channel blocker - vasodilators