Description Of Pseudoseizures Versus True Seizures
3543 WordsJan 12, 201515 Pages
Introduction: Pseudoseizures Versus True Seizures Seizure is the physical finding that occurs after abnormal electrical activities in the brain. Patients with seizures could have symptoms like changes in one’s behavior, drooling, frothing at the mouth, irregular eye movement, grunting and snorting, incontinence, extreme changes in mood, shakes, sudden falls, abnormal changes in taste buds, clenching teeth, respiratory arrest, uncontrolled muscle spasms, twitching, and brief blackout follow by period of confusion where they don’t remember anything (Seizures: MedlinePlus Medical Encyclopedia). Seizures also have many underlying etiology such as abnormal sodium or glucose levels in the blood, brain infections, brain injuries, brain tumor,…show more content…
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.
Mechanism of hypoglycemia induce seizure
Blood sugar, potassium, sodium, chloride, and other electrolytes fluctuate constantly to