Pseudoseizure

Notes: Image for display only. Taken from this [link]

- Also known as psychogenic seizure and currently coined as Non epileptic attack disorder (NEAD)
- common in females than males
- commoner in adolescence and early childhood

- divided into two broad types
a)attack involving motor phenomena
b) attack of lying motionless


How to recognize
a) Clinical
b) Video-EEG recording


Clinically suggested features
1) Triggers (frustration, suggestion, in company)
2) Duration (prolong)
3) Erratic movement (flailing, pelvic thrusting)
4) Physical (remaining pink and breathing, resist eye opening and eye contact, prompt recovery)


** The latter type often prolonged, continue for several minutes or sometimes hours..


Reference: Concensus Guidelines on the Management of Epilepsy 2010

A Baby with Fit

8 months old baby girl was brought to casualty by her mother because of alleged fit at home. At the time you are reviewing her; she is no longer fitting, alert and appears drowsy.



Questions

1) What are the further history that you would like to obtain from the mother
2) What is seizure?
3) List the causes of seizure
4) Differential diagnosis for seizure
5) How do you differentiate between simple and complex febrile fit
6) What are the criteria for admission for patient presenting with fit?
7) How do you manage patient who presented with fit in casualty.
8) When can you discharge the patient?



for answer to this case scenario, click [here]