Non-epileptic seizures Flashcards
What are possible causes if non-epileptic seizures?
Alcohol withdrawal
Psychogenic non-epileptic seizures
What term was previously used for Psychogenic non-epileptic seizures?
Pseudoseizure
What features would favour a psuedoseizure over an epileptic seizure?
pelvic thrusting
family member with epilepsy
crying after seizure
don’t occur when alone
gradual onset
When would a pseudoseizure not typically occur?
When the patient is alone
What does a patient usually do after they have a pseudoseizure?
Cry
What type of onset does a psuedoseizure typically have?
Gradual onset
What features would favour an epileptic seizure over a pseudoseizure?
tongue biting
Raised serum prolactin
What tends to be raised after an epileptic seizure but not a pseudoseizure?
Prolactin
What is useful for differentiating between a pseudoseizure and an epileptic seizure?
Video telemetry
When would an alcohol withdrawal seizure typically occur?
Typcically occur in patients with a history of alcohol excess who suddenly stop drinking,
When is the peak incidence for seizures in someone who has suddenly stopped drinking?
36 hours following cessation of drinking
What medication can a patient be given to reduce the chance of them having an alcohol withdrawal seizure?
Benzodiazepines
