Non-Epileptic Attack Disorder and Brain Rehab Flashcards
what are functional seizures linked with
traumatic events, physical/sexual abuse, other stress, anxiety or depression
what are some somatosensory auras
numbness, tingling, electric shocks, thermal sensations and pain
what are some visual auras
simple shapes, static, flashing, moving lights, colours
what are features of a functional attack
attacks with prominent motor activity
episodes of collapse with no movement
abreactive attacks e.g. fear, gasping, hyperventilation
duration often prolonged e.g. 10-20 mins
Tx for functional attacks
withdrawal of anti epileptic drugs explanation support counselling CBT
what is status epileptics
seizure activity not resolving spontaneously or recurrent seizures with no recovery of consciousness in-between
lasting for more than 30 mins
what are the 2 types of status epileptics
convulsive and non convulsive
what are Sx of status epileptics
seizures, cyanosis, pyrexia, acidosis, sweating
what are potential complications for status epileptics
aspiration, hypotension, cardiac arrhythmias, renal or hepatic failure
what are precipitants/causes for status epileptics
severe metabolic disorder infection head trauma SAH withdrawal of anti-convulsants treating absence seizures with CBZ
what is the difference between convulsive and non convulsive status epileptics
in convulsive see regular pattern of contraction and extension of the arms and legs
what are the 2 main types of non-convulsive status epileptics
complex partial or absence seizure
Tx for status epileptics (general)
ABC
check blood glucose
- give 50ml 50% glucose if hypo
Tx for status epileptics (anti-convulsant at home)
Diazepam or Midazolam
Tx for status epileptics (anti-convulsant at hospital)
Loraepam 4mg IV
Diazepam 10-20mg IV
Midazolam 5-10mg IM
