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Seizure mimicking feature or pseudo-seizure

"Seizure mimicking feature or pseudo-seizure"에 대한 내용입니다.
25 페이지
파워포인트
최초등록일 2024.01.26 최종저작일 2017.04
seizure Epilepsy pseudoseizure GTC
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Seizure mimicking feature or pseudo-seizure
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  • 미리보기

    소개

    "Seizure mimicking feature or pseudo-seizure"에 대한 내용입니다.

    목차

    1.Introduction
    2.Terminology
    3.Classification
    4.GTC
    5.Complex partial seizures
    6.DDx
    7.History taking
    8.References

    본문내용

    Introduction
    Treatment of PNES may be difficult, but it is clear that anti-epileptic drugs (AEDs) are of no benefit

    In addition to unnecessary costs and the potential side effects of AEDs for these patients, life-threatening side effects such as respiratory depression may occur

    참고자료

    · Psychogenic Non-Epileptic Seizures: Clinical Issues for Psychiatrists
    · April 1, 2017 Omair H. Abbasi, MD, TsungWai Aw, MD
    · Tintinalli’s Emergency Medicine, Ninth Edition
    · Is the differential diagnosis of epilepsy and psychogenic nonepileptic seizures possible by assessing the neutrophil/lymphocyte ratio?
    · Diagnostic accuracy of paroxysmal spells: Clinical history versus observation

  • AI와 토픽 톺아보기

    • 1. Seizure
      Seizures are a serious medical condition that can have a significant impact on a person's life. They are characterized by sudden and uncontrolled electrical disturbances in the brain, leading to a range of symptoms such as convulsions, loss of consciousness, and abnormal movements. Seizures can be caused by a variety of factors, including brain injuries, genetic disorders, and underlying medical conditions like epilepsy. It is important to recognize the signs and symptoms of a seizure and seek immediate medical attention, as they can be life-threatening if not properly managed. Treatment for seizures typically involves a combination of medication, lifestyle changes, and in some cases, surgical interventions. Anticonvulsant drugs are often prescribed to help control the frequency and severity of seizures, while lifestyle modifications such as stress management and adequate sleep can also play a role in managing the condition. Overall, seizures are a complex and multifaceted medical issue that require a comprehensive approach to diagnosis and treatment. Ongoing research and advancements in the field of neurology are helping to improve our understanding of seizures and develop more effective therapies to improve the quality of life for those affected by this condition.
    • 2. Pseudoseizure
      Pseudoseizures, also known as non-epileptic seizures or psychogenic non-epileptic seizures (PNES), are a complex and often misunderstood medical condition. Unlike true seizures, which are caused by abnormal electrical activity in the brain, pseudoseizures are characterized by episodes that resemble seizures but are not accompanied by the same neurological changes. Pseudoseizures are often associated with underlying psychological or emotional factors, such as trauma, stress, or mental health disorders. They can be challenging to diagnose, as the symptoms can be similar to those of epileptic seizures, and may require a comprehensive evaluation by a team of healthcare professionals, including neurologists, psychiatrists, and psychologists. Treatment for pseudoseizures typically involves a combination of psychotherapy, medication, and lifestyle modifications. Cognitive-behavioral therapy (CBT) has been shown to be an effective approach, as it can help patients develop coping strategies and address the underlying psychological factors that may be contributing to their seizure-like episodes. It is important to note that pseudoseizures are a real and valid medical condition, and should not be dismissed or minimized. Individuals with pseudoseizures often face significant challenges and stigma, and it is crucial that they receive compassionate and evidence-based care to manage their symptoms and improve their overall quality of life.
    • 3. Differential diagnosis
      Differential diagnosis is a critical component of the medical decision-making process, as it involves the systematic evaluation of various potential causes or conditions that may be responsible for a patient's presenting symptoms. This process is particularly important in the context of seizures and other neurological disorders, where the underlying cause can be complex and multifaceted. When it comes to seizures, the differential diagnosis process involves carefully considering and ruling out a range of potential etiologies, including epilepsy, brain tumors, head injuries, metabolic disorders, and even psychiatric conditions like pseudoseizures. This requires a comprehensive medical history, physical examination, and a variety of diagnostic tests, such as electroencephalography (EEG), neuroimaging, and laboratory studies. Accurate differential diagnosis is crucial for ensuring that patients receive the appropriate treatment and management plan. Misdiagnosis or delayed diagnosis can lead to suboptimal outcomes, as the underlying condition may not be properly addressed. Additionally, the differential diagnosis process can help identify any comorbidities or contributing factors that may be influencing the patient's symptoms, allowing for a more holistic and personalized approach to care. Overall, the differential diagnosis of seizures and other neurological disorders is a complex and nuanced process that requires the expertise of healthcare professionals with specialized training and experience in this field. By carefully considering the various potential causes and ruling out alternative diagnoses, clinicians can work to ensure that patients receive the most appropriate and effective care for their specific needs.

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        2017.04
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