Epilepsy physical examination: Difference between revisions

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Latest revision as of 21:37, 29 July 2020

Epilepsy Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Epilepsy from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

EEG

X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Epilepsy physical examination On the Web

Most recent articles

Most cited articles

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X-rays
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Risk calculators and risk factors for Epilepsy physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Common physical examination findings of epileptic seizure include: Automatic behaviors, upward eye rolling, unconsciousness, drooling, cyanosis, post-ictal drowsiness, fever, tachycardia, hypertension, mydriasis, nystagmus, urine and fecal incontinence, disorientation to persons, place, and time, altered mental status, automatic behaviors (repetitive muscle movement), Muscle rigidity and hyper-reflexia.

Physical Examination

Physical examination of patients with epilepsy is usually remarkable for:

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

  • Neck examination of patients with epilepsy is usually normal.

Lungs

Heart

Abdomen

  • Abdominal examination of patients with epilepsy is usually normal.

Back

  • Back examination of patients with epilepsy is usually normal.

Genitourinary

Neuromuscular

Extremities

  • Extremities examination of patients with epilepsy is usually normal.

References

  1. 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
  2. Hampel KG, Jahanbekam A, Elger CE, Surges R (October 2016). "Seizure-related modulation of systemic arterial blood pressure in focal epilepsy". Epilepsia. 57 (10): 1709–1718. doi:10.1111/epi.13504. PMID 27549906.
  3. Hoefnagels WA, Padberg GW, Overweg J, van der Velde EA, Roos RA (February 1991). "Transient loss of consciousness: the value of the history for distinguishing seizure from syncope". J. Neurol. 238 (1): 39–43. PMID 2030371.
  4. Annegers JF, Coan SP (October 2000). "The risks of epilepsy after traumatic brain injury". Seizure. 9 (7): 453–7. doi:10.1053/seiz.2000.0458. PMID 11034867.
  5. Gadoth N, Margalith D, Bechar M (1981). "Unilateral pupillary dilatation during focal seizures". J. Neurol. 225 (3): 227–30. PMID 6167689.
  6. Ma Y, Wang J, Li D, Lang S (2015). "Two types of isolated epileptic nystagmus: case report". Int J Clin Exp Med. 8 (8): 13500–7. PMC 4612972. PMID 26550287.
  7. Mokhtarifar A, Mozaffari H, Afshari R, Goshayeshi L, Akavan Rezayat K, Ghaffarzadegan K, Sheikhian M, Rajabzadeh F (2013). "Cholestasis and seizure due to lead toxicity: a case report". Hepat Mon. 13 (11): e12427. doi:10.5812/hepatmon.12427. PMC 3860072. PMID 24348646.
  8. Hopstaken RM, Muris JW, Knottnerus JA, Kester AD, Rinkens PE, Dinant GJ (May 2003). "Contributions of symptoms, signs, erythrocyte sedimentation rate, and C-reactive protein to a diagnosis of pneumonia in acute lower respiratory tract infection". Br J Gen Pract. 53 (490): 358–64. PMID 12830562.
  9. DeToledo JC, Lowe MR, Gonzalez J, Haddad H (August 2004). "Risk of aspiration pneumonia after an epileptic seizure: a retrospective analysis of 1634 adult patients". Epilepsy Behav. 5 (4): 593–5. doi:10.1016/j.yebeh.2004.03.009. PMID 15256199.
  10. Behbahani S (July 2018). "A review of significant research on epileptic seizure detection and prediction using heart rate variability". Turk Kardiyol Dern Ars. 46 (5): 414–421. doi:10.5543/tkda.2018.64928. PMID 30024401.
  11. Brigo F, Nardone R, Ausserer H, Storti M, Tezzon F, Manganotti P, Bongiovanni LG (March 2013). "The diagnostic value of urinary incontinence in the differential diagnosis of seizures". Seizure. 22 (2): 85–90. doi:10.1016/j.seizure.2012.10.011. PMID 23142708.
  12. Olsen, T. S.; Hogenhaven, H.; Thage, O. (1987). "Epilepsy after stroke". Neurology. 37 (7): 1209–1209. doi:10.1212/WNL.37.7.1209. ISSN 0028-3878.

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