Non-epileptic attacks

Question 1

give the 5 kinds of functional attacks?

Answer 1

Dissociative seizures
Non-epileptic attack disorder
Psedoseizures
Psychogenic non-epileptic seizures
Hysterical seizures

Question 2

Functional attacks

• features?
• related to? (4)
• Diagnosis? (4)

Answer 2

-Not consciously mediated
Patient has no control of the attacks

-Related to:
traumatic events
physical/sexual abuse
Other steps
Anxiety or depression 

-Hx
linguistic analysis
outpatient EEG and video with provocation
Longterm video EEG monitoring

Question 3

Seizure semiology

-allows what?

Answer 3

-can try to determine the location of the seizure

Question 4

Auras

-types of aura? features of each? originated from?

Answer 4

Somatosensory auras
numbness, tingling, electrical shocks, thermal sensations and pain
somatosensory cortex & insular cortex

Visual auras
simple shapes, static, facing, moving lights, colours
Occipital lobe, occasionally temporal

Auditory auras
auditory cortex

Vertiginous auras
temporal-parietal lobe

Autonomic auras
temporal lobe

Question 5

Describe the features if a functional attack (4)

-treatment? (5)

Answer 5

can be one of the following:
prominent motor activity
episodes of collapse why no movement 
Abreactive attacks
Duration often prolonged 10-20 mins 

-REMOVE EPILEPSY DX
and remove anti epileptic drugs
explain & support 
counselling and treat depression
CBT