Consequences of seizure diagnosis? (3)
Driving
Working
Recreational
Artifacts on EEG (4)
Scalp scratching
Toothbrushing
Chewing
Eating
Hx supporting seizures
Age Both injury FAH Febrile Head injury
Temporal lobe symptoms
Deja vu
Epigrastric
Fear
Visual images
Frontal visual images
Forces eye
Muscle
Speech arrest
Parietal lobe
Paras thesis
Sensory phenomenon
Occipital seizure symptoms
Flashes
Colors
Positive basic visual
Features favoring epilepsy
Two types seizure
Psychogenic non epileptic seizures
Epileptic seizure
Clues for physiological seizures
Dizziness Orthostatic Migrain Transient ischemic attacks Transient global amnesia
How do you differentiate leg weakness from psych.
Have the pt cross leg and drag heel down shin. If they hold it up then they are exaggerating. Valle test