Ad
related to: post ictal confusion icd 10
Search results
Results From The WOW.Com Content Network
The postictal state is the altered state of consciousness after an epileptic seizure.It usually lasts between 5 and 30 minutes, but sometimes longer in the case of larger or more severe seizures, and is characterized by drowsiness, confusion, nausea, hypertension, headache or migraine, and other disorienting symptoms.
However, the "reason for the close relationship of TEA with sleep is unclear. It may be that the transition from sleep to waking acts as a trigger to a seizure focus in the medial temporal lobe. Alternatively, amnesia upon waking may reflect persistent post-ictal dysfunction of medial temporal lobe structures following a seizure during sleep." [2]
Some characteristics which may distinguish PNES from epileptic seizures include gradual onset, out-of-phase limb movement (in which left and right extremities jerk asynchronously or in opposite directions, as opposed to rhythmically and simultaneously as in epileptic seizures), closed eyes, high memory recall, and lack of post-ictal confusion.
Post-ictal headache. It is a headache “occurring within three hours after an epileptic seizure and remitting spontaneously within 72 hours after seizure termination”. [ 4 ] It is one of the possible symptoms of the postictal state .
Other post-ictal neurological findings that do not involve activity of the area affected by the seizure have been described. They are thought to be caused by a different mechanism than Todd's paresis, and including paralysis of the contralateral limb, [ 5 ] and rare genetic causes of hemiplegia and seizures.
Absence seizures affect between 0.7 and 4.6 per 100,000 in the general population and 6 to 8 per 100,000 in children younger than 15 years. Childhood absence seizures account for 10% to 17% of all absence seizures. Onset is between 4 and 10 years and peaks at 5 to 7 years. It is more common in girls than in boys. [2]
The tonic phase is usually the shortest part of the seizure, normally lasting only 10–20 seconds. [2] The patient may also express brief vocalizations like a loud moan upon entering the tonic stage, due to air being forcefully expelled from the lungs. This vocalization is commonly referred to as an "ictal cry." Starting in the tonic phase ...
The ACDU scale, like AVPU, is easier to use than the GCS and produces similarly accurate results. [10] Using ACDU, a patient is assessed for alertness, confusion, drowsiness, and unresponsiveness. [10] The Grady Coma Scale classes people on a scale of I to V along a scale of confusion, stupor, deep stupor, abnormal posturing, and coma. [9]