Seizure history and symptoms: Difference between revisions
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{{CMG}} {{AE}} {{SHA}} | {{CMG}} {{AE}} {{SHA}} | ||
==History and Symptoms== | ==<s>History and Symptoms</s>== | ||
Symptoms experienced by a person during a seizure depend on where in the brain the disturbance in electrical activity occurs. Recent studies show that seizures happen in sleep more often than was thought. A person having a tonic-clonic seizure may cry out, lose consciousness and fall to the ground, and convulse, often violently. A person having a [[complex partial seizure]] may appear confused or dazed and will not be able to respond to questions or direction. Some people have seizures that are not noticeable to others. Sometimes, the only clue that a person is having an [[absence seizure]] is rapid blinking or a few seconds of staring into space. | <s>Symptoms experienced by a person during a seizure depend on where in the brain the disturbance in electrical activity occurs. Recent studies show that seizures happen in sleep more often than was thought. A person having a tonic-clonic seizure may cry out, lose consciousness and fall to the ground, and convulse, often violently. A person having a [[complex partial seizure]] may appear confused or dazed and will not be able to respond to questions or direction. Some people have seizures that are not noticeable to others. Sometimes, the only clue that a person is having an [[absence seizure]] is rapid blinking or a few seconds of staring into space.</s> | ||
*<s>Change in alertness; the person cannot remember a period of time</s> | |||
*<s>Mood changes, such as unexplainable fear, panic, joy, or laughter</s> | |||
*<s>Change in sensation of the skin, usually spreading over the arm, leg, or trunk</s> | |||
*<s>Vision changes, including seeing flashing lights</s> | |||
*<s>Rarely, hallucinations (seeing things that aren't there)</s> | |||
*<s>Falling, loss of muscle control, occurs very suddenly</s> | |||
*<s>Muscle twitching that may spread up or down an arm or leg</s> | |||
*<s>Muscle tension or tightening that causes twisting of the body, head, arms, or legs</s> | |||
*<s>Shaking of the entire body</s> | |||
*<s>Tasting a bitter or metallic flavor</s> | |||
<s><br /></s> | |||
==Overview== | ==Overview== | ||
The main part of the seizure [[history]] should be about the patient’s awareness, experience, and remembrance of the seizure. Symptoms of seizure may include: [[aura]], prior staring spells, [[myoclonic]] jerks, and impaired awareness. | The main part of the seizure [[history]] should be about the patient’s awareness, experience, and remembrance of the seizure. Symptoms of seizure may include: [[aura]], prior staring spells, [[myoclonic]] jerks, and impaired awareness. | ||
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==History and Symptoms== | ==History and Symptoms== | ||
===History=== | ===History=== | ||
* The main part of the seizure history should be about the patient’s:<ref name="pmid28027373">{{cite journal| author=Gavvala JR, Schuele SU| title=New-Onset Seizure in Adults and Adolescents: A Review. | journal=JAMA | year= 2016 | volume= 316 | issue= 24 | pages= 2657-2668 | pmid=28027373 | doi=10.1001/jama.2016.18625 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28027373 }} </ref> | |||
** Awareness | *The main part of the seizure history should be about the patient’s:<ref name="pmid28027373">{{cite journal| author=Gavvala JR, Schuele SU| title=New-Onset Seizure in Adults and Adolescents: A Review. | journal=JAMA | year= 2016 | volume= 316 | issue= 24 | pages= 2657-2668 | pmid=28027373 | doi=10.1001/jama.2016.18625 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28027373 }} </ref> | ||
** Experience | **Awareness | ||
** Remembrance of the seizure | **Experience | ||
**Remembrance of the seizure | |||
===Symptoms=== | ===Symptoms=== | ||
Symptoms of seizure may include:<ref name="pmid28027373">{{cite journal| author=Gavvala JR, Schuele SU| title=New-Onset Seizure in Adults and Adolescents: A Review. | journal=JAMA | year= 2016 | volume= 316 | issue= 24 | pages= 2657-2668 | pmid=28027373 | doi=10.1001/jama.2016.18625 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28027373 }} </ref> | Symptoms of seizure may include:<ref name="pmid28027373">{{cite journal| author=Gavvala JR, Schuele SU| title=New-Onset Seizure in Adults and Adolescents: A Review. | journal=JAMA | year= 2016 | volume= 316 | issue= 24 | pages= 2657-2668 | pmid=28027373 | doi=10.1001/jama.2016.18625 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28027373 }} </ref> | ||
* [[Aura]] | |||
** Typically seen in patients with [[focal seizures]] and give information about the origin of the seizures in the [[brain]]. | *[[Aura]] | ||
* Patients with a first [[convulsive]] seizure may experience: | **Typically seen in patients with [[focal seizures]] and give information about the origin of the seizures in the [[brain]]. | ||
** Prior staring spells | *Patients with a first [[convulsive]] seizure may experience: | ||
** [[Myoclonic]] jerks (without awareness) | **Prior staring spells | ||
** Stereotypic events (such as auras) | **[[Myoclonic]] jerks (without awareness) | ||
* Impaired awareness | **Stereotypic events (such as auras) | ||
** Question the patient and witness separately | *Impaired awareness | ||
**Question the patient and witness separately | |||
==References== | ==References== | ||
Revision as of 12:39, 29 October 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
History and Symptoms
Symptoms experienced by a person during a seizure depend on where in the brain the disturbance in electrical activity occurs. Recent studies show that seizures happen in sleep more often than was thought. A person having a tonic-clonic seizure may cry out, lose consciousness and fall to the ground, and convulse, often violently. A person having a complex partial seizure may appear confused or dazed and will not be able to respond to questions or direction. Some people have seizures that are not noticeable to others. Sometimes, the only clue that a person is having an absence seizure is rapid blinking or a few seconds of staring into space.
Change in alertness; the person cannot remember a period of timeMood changes, such as unexplainable fear, panic, joy, or laughterChange in sensation of the skin, usually spreading over the arm, leg, or trunkVision changes, including seeing flashing lightsRarely, hallucinations (seeing things that aren't there)Falling, loss of muscle control, occurs very suddenlyMuscle twitching that may spread up or down an arm or legMuscle tension or tightening that causes twisting of the body, head, arms, or legsShaking of the entire bodyTasting a bitter or metallic flavor
Overview
The main part of the seizure history should be about the patient’s awareness, experience, and remembrance of the seizure. Symptoms of seizure may include: aura, prior staring spells, myoclonic jerks, and impaired awareness.
History and Symptoms
History
- The main part of the seizure history should be about the patient’s:[1]
- Awareness
- Experience
- Remembrance of the seizure
Symptoms
Symptoms of seizure may include:[1]
- Aura
- Typically seen in patients with focal seizures and give information about the origin of the seizures in the brain.
- Patients with a first convulsive seizure may experience:
- Prior staring spells
- Myoclonic jerks (without awareness)
- Stereotypic events (such as auras)
- Impaired awareness
- Question the patient and witness separately
References
- ↑ 1.0 1.1 Gavvala JR, Schuele SU (2016). "New-Onset Seizure in Adults and Adolescents: A Review". JAMA. 316 (24): 2657–2668. doi:10.1001/jama.2016.18625. PMID 28027373.