Ceeg Case Study

The video ECE CompSAT Observation, Screening, Assessment, and documentation focus on the importance as an early childhood educator feels confident in all aspects related to children development such as observation, screening, assessment and documentation.

I learned that often times, ECT is used along with a general anesthesia and a brief electrical current initiated to trigger a brief seizure. Likewise, I realized that ECT is the preferred treatment when other options are not as well tolerated. After becoming more familiar with the procedure, it seems as though ECT may be a more desirable option than pharmacological interventions as drug interventions may require more time to become effective. Sometimes when a patient's signs and symptoms are overwhelming, interfering with their daily life, time is of the essence and ECT provides a quicker relief for individuals with immediate risk. After several years and improvement technology, ECT has become much safer in the past, presenting minimal possible risks - memory loss, confusion, headache or muscle ache - to the

In the present time, the usage of 24-hour EEG video monitoring have proved many past physicians incorrect about their distinction between true and false seizures. EEG/video of pseudoseizures has revealed that urination, injury, and drug responsiveness may be part of nonepileptic episodes as well as epileptic episodes. As a result, EEG/video has become the gold standard for discriminating between epileptic and nonepileptic attack (Bergen, 154-155). Both clinical observation and EEG/video have reveal that long durations of start-stop pattern, direct actions, and situational triggers are more common in pseudoseizures than in true seizures (Bergen, 154-155). In addition true tonic-clonic seizures with combination of postictal oxygen debt, accumulation of saliva, and reduce level of consciousness are often followed by deep respirations and snoring or stertorous respiratory patterns, however, pseudoseizures lack these characteristics (Bergen, 154-155). The eyes remained open in every tonic-clonic and hypermotor seizures, but were closed in almost 90 percent of pseudoseizures (Bergen, 154-155). The result have shown that it is important to be able to differentiate between pseudoseizure and true seizure, but it is also crucial that physicians be able to find the underlying cause of the seizure as well.

On May 9th, 2014, I had an unexpected seizure in the middle of the night. At the time my parents were asleep, and they were awoken in a state of shock. Seizures are really scary because they are unexpected. As a matter of fact, the people who go through them are totally unaware of their surroundings and are left vulnerable to the dangers around them. Because of this drastic event, I had to go through many time-consuming tests, one of which was the EEG, which took one whole day and night at the hospital. An EEG is a very complex, expensive and time-consuming system, also it is uncomfortable for patients, especially for young children.

Many studies have suggested that managing nonconvulsive status epilepticus (NCSE) presents many challenges, which would benefit from additional early measures to predict patient outcomes. Non-convulsive status epilepticus (NCSE) is status epilepticus without obvious tonic–clonic activity. NCSE is now known to be a heterogeneous disease with a variety of reasons, several subtypes (Shenker and Foundation 2003). In the mental status testing study researcher stated most patient were unexplained reduced level of consciousness or altered mental status and they only administer Folstein Mini-Mental State Examination (MMSE) when patients very mildly impaired. To determine the usefulness of the NCSE divided into Standardize NCSE exam and Glasgow coma

Status epilepticus (SE) is a life-threatening ailment in which the brain is in a state of persistent seizure. Definitions differ, but conventionally it is well-defined as one constant unremitting seizure lasting longer than 5 minutes, or recurring seizures without recuperating consciousness between seizures for greater than 5 minutes. When recurring seizures happen at a frequency which does not let consciousness to be recouped in the interval between seizures, it is called status epilepticus. Severe and perpetual brain impairment might arise from status epilepticus continuing for more than an hour. The lengthier the duration of status epilepticus, the more challenging it is to control and higher is the rate of morbidity and mortality. It is constantly considered a medical emergency. Etiologically, SE can be shared into 3 groups. SE can represent an exacerbation of a pre-existing seizure complaint, the early manifestation of a seizure disorder, or an insult other than a seizure disorder. In patients with known

An aneurysm is a weakening or dilation of the blood vessel wall. If the aneurysm burst it is considered a subarachnoid hemorrhage. Aneurysms occur most commonly along the aorta or in the brain. For the purpose of this paper, brain aneurysms will be the main focus. Aneurysms are life threatening, especially in the case of a rupture. Therefore it is important that healthcare workers have an understanding of the pathophysiology, clinical manifestations, diagnostic test, and the therapeutic management of these cases. This is a brief description of this, however research in treatment along with other areas is still being conducted.

The specific code type for Eboneé is 20/02. This specific code type suggests Eboneé is extremely shy and possibly insecure. She is very much introverted and struggle in social situations. Some of the introversion and insecurity maybe attributed to possible depression, which may cause her to be guarded and encourage the desire to be alone and private.

“Epilepsy is usually classified by the type of seizure the person has”(Sands P.7) and seizures are classified by the International Classification System. The ICS divides seizures into two main groups: partial or focal, in which only part of the brain is affected, and general, in which the entire brain is affected. There are also unilateral seizures which affect only one side of the brain. Partial seizures can be further broken down into simple partial, complex partial and partial evolving to secondarily generalized seizures. Since partial seizures only affect a local part of the brain their symptoms

Sergio was unable to contact any service provider in order to get an evaluation for Celso. MSTT examine the barriers which prevented him from following through with getting some set up for Celso. Sergio explained he is hesitant to call because he does not want to hear about a waiting list. He explained he also believes Celso is overreacting and displaying these behaviors because he does not want to attend school. MSTT encourage Sergio to make an appointment because if Celso really is experiencing difficulty with anxiety because of school. The medication prescribed by the psychiatrist would help. If it is an excuse then after the evaluation he can no longer use it as an excuss. MSTT explained its better to get it checked then to ignore it.

Epilepsy was conceptually defined in 2005 as a disorder of the brain characterised by enduring predisposition to generate epileptic seizures (1). This disorder is approached with such fear and trepidation by the medical and lay person alike, due to it expression of violent muscular activity in most cases. Much work and study has been done to understand that pathological process, and one etiology that is of surgical importance is temporal lobe epilepsy. Although this is not a common cause of epilepsy, it certainly has the potential for a good outcome if managed surgically. In this review the detailed surgical approach and management of this condition will be discussed, with a case presentation to highlight the topic.

Awake craniotomy is needed for epilepsy surgery when intraoperative electrocorticography is required to define resection margins.1

The EEG is a test done where electrodes are put on the patient’s head and it will show any abnormal electrical activity due to having epilepsy. If the results come back normal the first time, the doctor may try doing the EEG while the patient is asleep to test for any abnormal activity. They may even request for a sleep-deprived test or an ambulatory EEG.

Diagnosis of OHE is based mainly on clinical examination and clinical scales are used to determine its severity. The gold standard is the West Haven criteria (WHC) (table 3). However, they are subjective tools with limited inter-observer reliability (especially for grade I HE), because slight hypokinesia, psychomotor slowing, and a lack of attention can easily be overlooked in clinical examination (Bajaj et al., 2011). In patients with significantly altered consciousness, the Glasgow Coma Scale (GCS) is widely employed and supplies an operative, robust description (Vilstrup et al.,

The ECT was being administered in theatre in the general hospital. In advance of the treatment the clients vital signs were checked and it was confirmed that consent was given. The client was then transferred to theatre. Present in the room was the anaesthesiology team, ECT nurse, surgical nurse, psychiatric consultant, registrar, psychiatric nurse and student nurse. Initially the client was hooked up to a machine to record her vital signs, anaesthetic and muscle relaxants were administered and the client was ventilated with 100% oxygen. Under anaesthetic the client has reduced capacity to breathe hence oxygen is administered, pure oxygen also reduces the deleterious effects on memory. Anaesthesia and muscle relaxants reduce the seizure threshold and the risk of injuries from motor activity during the seizure (Fink 2009). The client remained in the supine position, conductive jelly was applied bilaterally to the temples and the psychiatrist administered the electrical stimulus. The choice between unilateral and bilateral electrode placement remains