How is epilepsy diagnosed? 20. How is epilepsy diagnosed?

Some types of seizures can be confused with other disorders, and it is important for doctors to diagnose the disorder before they occur. The doctor's diagnosis of the disease depends largely on the patient's presentation at the time of the attack and the symptoms and history provided by the family. In addition, the doctor will perform the necessary physical examinations for the patient.

If neurological disorders are suspected, they should also be examined by a neurologist. Neurological examinations usually include electroencephalogram, CT of the brain, magnetic resonance imaging (MRL), etc. These tests don't have much of an impact on the body, but your child may have a fear of those tests.

The child should be told about the need for a test to remove tension. If epilepsy has been diagnosed, you should take your medication on time as directed by your doctor and have regular follow-up check-ups. If necessary, the blood concentration of the drug should be measured, the drug dose should be adjusted, and the laboratory tests should be conducted regularly to avoid possible adverse drug reactions.

Hello, the presence of epileptic waves (i.e., epileptiform discharges) on an EEG is an important basis for diagnosing epilepsy. The diagnostic criteria for epilepsy are: first, there are symptoms of epilepsy that are reversed; second, the electroencephalogram examination showed epileptic waves; Third, anti-epileptic drugs are effective. However, EEG is not the only criterion, as there are individual patients with epilepsy who may have a normal EEG.

Even a 24-hour long-range EEG test has a positive detection rate of only 80%.

You can consult them at 0429-5358666, Xingcheng Epilepsy Specialized Hospital.

The methods for diagnosing epilepsy are as follows: 1. The latest ILAE epilepsy diagnostic guidelines believe that more than two habitual seizures can be diagnosed as epilepsy, and epilepsy can be diagnosed with clinical symptoms without the standard of EEG performance; 2. Epilepsy classification: through video recording and long-range electroencephalography, the type of epilepsy is judged according to the symptoms of the seizure period and the characteristics of the electroencephalography.

Such as focal epilepsy, total epilepsy, complex partial seizure epilepsy. According to the form of the seizure, the drug is reasonably selected; 3. Epilepsy syndromes: such as West syndrome and LGS syndrome, classified as epilepsy syndromes.

Epilepsy has two characteristics, namely epileptiform discharges on EEG and clinical seizures of epilepsy, therefore, epilepsy needs to be diagnosed based on clinical history and electroencephalogram, as follows:

1. Clinical history: medical history is the main basis for diagnosing epilepsy, and through medical history, we can understand what are the commonalities of seizures and whether the seizure manifestations have the characteristics of different seizure types.

2. Electroencephalogram: epileptiform discharge on EEG is an important diagnostic evidence of epilepsy, and the epileptiform discharge on EEG includes spike wave, sharp wave, spike slow wave or sharp and slow compound wave, different types of epilepsy, there are different manifestations on EEG, which can assist in determining the type of seizure. Try to do 24h ambulatory EEG or **EEG to improve the positive rate, and it is best to have an EEG examination as soon as possible after the seizure of epilepsy patients to increase the positive rate.

Only the correct and accurate diagnosis of epilepsy can be the most effective ** epilepsy, in order to ensure the correct diagnosis, everyone should go to a regular epilepsy hospital to diagnose epilepsy. Nowadays, many people do not know much about the diagnosis of epilepsy and do not know how to diagnose epilepsy. Then what follows is a detailed introduction to the diagnosis of epilepsy in this article.

To diagnose epilepsy, first of all, some scientific examinations are essential, epilepsy examination items mainly include electroencephalogram, blood metaplasia, formal physical examination, etc., each examination has a certain cost, but these examinations can not be less.

Past history: The patient's diseases in all systems should be inquired, including trauma, infection, allergies, poisoning, cardiovascular disorders, etc.

Family history: It is also important to ask about family history. The presence or absence of epilepsy in the child's paternal and maternal relatives should be reported truthfully and in detail, which is beneficial for the examination of epilepsy.

History of present illness: a careful description of the patient's seizures, if any, with or without aura; Consciousness, complexion, breathing, language, seizure form, eyes, face, limbs and various parts of the seizure; duration and severity of the attack, presence or absence of incontinence, etc.; postictal drowsiness, paralysis and headache; The duration and length of the seizure, the relationship between the seizure and the sleep cycle, menstrual cycle, season, etc., and whether there are predisposing factors.

Epilepsy, commonly known as "epilepsy" or "epilepsy", is a chronic disease in which neurons in the brain suddenly and abnormally discharge, resulting in transient brain dysfunction.

Symptoms of epilepsy:

1. Grand mal seizure: the patient will suddenly lose consciousness, followed by falling, and then there are those manifestations that everyone knows well, such as convulsions, foaming at the mouth, incontinence and so on. The whole body is stiff and will recover on its own within a few minutes.

2. There are two manifestations of petit mal seizures, one is absence petit mal seizures, and the second is myoclonus petit mal seizures. Minor seizures of absence are manifested as stunned, unable to breathe, speech interrupted, and if there is something in the hand, it will fall, and the duration is about tens of seconds. Myoclonus petit seizures are characterized by transient myoclonus of the face, upper extremities, and neck.

3. Localized seizures: transient convulsions or numbness on one side of the face or one side of the body. Sometimes these tics extend from the ends of the limbs to the opposite side.

4. Psychomotor seizures, similar to small seizures of absence seizures, but they will last for a long time, hallucinations, delusions, and some unconscious actions such as chewing, sucking, etc.

A diagnosis of epilepsy means that the patient will undergo long-term epilepsy**. The types of epilepsy and the symptoms of seizures are complex and varied: for example, occasional stupasiness; The eyes roll up, or the hands and feet twitch suddenly, the time is very short, a second or two is gone; Because of the short time, how to diagnose epilepsy is indeed a high challenge for professional doctors.

Some patients nod their heads from time to time; When you are running or playing, you suddenly stop, laugh involuntarily, the time is also very short, and then continue to play, if you don't pay attention, you may be fine before you find out, how to diagnose epilepsy, you must always pay attention to the details of the symptoms.

How to diagnose epilepsy, to a large extent, to provide a medical history, so carefully asking for the history of each seizure and paying attention to the details of the seizure is the best way to avoid misdiagnosis. If non-epileptic seizures are regarded as epilepsy, they may not be effective, resulting in anti-epileptic TCM poisoning and drug-induced epilepsy. Some seizure disorders are not necessarily epilepsy, such as syncope, which can be difficult to diagnose because both have many of the same seizure manifestations

loss of consciousness, dilated pupils, clonic throbbing, tonic seizures, incontinence, increased salivation, postictal fatigue.

How to diagnose epilepsy, to be foolproof, or to go to a regular and professional epilepsy hospital for consultation, the type of epilepsy and the location of epilepsy focus, to analyze clinical data, neuroelectrophysiology, imaging, brain functional imaging, neuropsychology and other examination results, by the relevant experts to discuss and dialectic, in order to make an accurate positioning. Therefore, a small hospital and outpatient clinic with few experts, especially one expert at one table, cannot solve the major problem of how to diagnose epilepsy.

If necessary, it is recommended that you go to a professional brain hospital for a comprehensive examination. Wishing you good health!

How is epilepsy diagnosed? The diagnosis of epilepsy is mainly based on symptoms, and the doctor will ask the patient and witnesses such as relatives or colleagues in detail: whether the epilepsy occurred when the epilepsy occurred, whether they can remember the onset of the seizure at that time, whether there is a sudden fall, eyes turned up, foaming at the mouth, clenched fists, and twitching of the limbs.

Obtaining detailed and complete seizure symptoms, the number of seizures, is the key to accurately diagnosing epilepsy. If symptoms are clearly indicative of epilepsy, an electroencephalogram (EEG) is indicated, and the presence of epileptic discharges on the EEG is an important evidence for the diagnosis of epilepsy.

Epilepsy should be based on different types of patients, the development of a plan, generally commonly used anti-epileptic drugs, carbamazepine controlled-release tablets and magnesium valproate, etc., if the condition is serious, you can consider combined drugs or surgery.

Epilepsy diagnosis.

1.Asking the patient and witnesses such as relatives or colleagues to obtain as much detail as possible is the key to accurately diagnosing epilepsy. Electroencephalogram (EEG) is the most important means of diagnosing seizures and epilepsy and helps classify seizures and epilepsy.

Electroencephalogram (EEG) should be performed in all cases of clinical suspicion of epilepsy. It should be noted that the abnormal rate of conventional EEG is very low, about 10-30%. The standardized EEG, because of its appropriate extension of the tracing time, to ensure that various induced tests, especially sleep induction, and sphenoid electrode tracing if necessary, significantly improve the detection rate of epileptic discharge, can increase the positive rate to about 80%, and significantly improve the accuracy of epilepsy diagnosis.

2 Types of seizures.

The judgment is mainly based on detailed medical history data, standardized EEG examination, and video EEG detection if necessary.

3 Epilepsy**.

Once the diagnosis of epilepsy has been confirmed, efforts should be made to find out**. The history should include family history, birth, growth and development, and history of encephalitis, meningitis, or traumatic brain injury. Examination for neurological signs, systemic diseases, etc.

Then select relevant tests, such as brain magnetic resonance imaging (MRI), CT, blood glucose, blood calcium, cerebrospinal fluid examination, etc., to further identify **.

We hope that it will be helpful to you, and it is recommended to go to a regular specialist hospital.

Epilepsy test.

Expert answers

1. Electroencephalogram:

In addition to the history and neurological examination, electroencephalogram (EEG) is considered by far the most important test and often helps to localize and characterize.

In addition, epilepsy is a seizure disease, the symptoms appear suddenly, disappear quickly, and there are many different forms of seizures, the positive rate of conventional EEG recording for epileptiform waves is only 20-40%, at this time, video EEG can fill the above defects, and the accuracy rate of epilepsy diagnosis is more than 90%. For those whose symptoms are atypical and cannot be done by conventional EEG, video EEG examination can be done.

2. Imaging examination (CT):

Imaging tests alone do not diagnose epilepsy, but they can help identify**.

3. Blood chemistry examination:

Such as blood sugar, blood calcium, blood magnesium, drug ingredients, etc. Blood glucose, blood calcium, and blood magnesium concentrations are important causes of seizures, which can provide a basis for the diagnosis of some diseases accompanied by seizures.

4. Urine examination: mainly to exclude some hereditary metabolic diseases, such as phenylketonuria.

1.Generalized tonic-clonic seizures (grand mal seizures): sudden loss of consciousness, followed by tonic followed by clonic spasms.

It is often accompanied by screaming, bluish complexion, urinary incontinence, tongue bites, foaming or blood foaming at the mouth, and dilated pupils. After lasting tens of seconds or minutes, the seizures naturally stop and you enter a lethargic state. After waking up, he has a short period of dizziness, irritability, and fatigue, and cannot recall the seizure.

If seizures persist, people who remain in a coma are called grand mal status and are often life-threatening.

2.Absence seizures (petit mals): sudden interruption of mental activity, loss of consciousness, possibly myoclonus, or automatism. A few seconds to more than 10 seconds at a time. EEG showed 3 seconds of spikes or sharp slow wave synthesis.

3.Simple partial seizures: tonic seizures, clonic seizures, or paresthesia seizures in one part or one limb that are brief in duration and clear in consciousness.

If the seizure extends along the motor zone to other limbs or throughout the body, it may be accompanied by loss of consciousness, called a Jackson seizure. Temporary paralysis of the affected limb after an attack is called Todd's palsy.

4.Complex partial seizures (psychomotor seizures): psychosensory, psychomotor, and mixed seizures.

There are many different degrees of impairment of consciousness and significant thinking, perceptual, emotional, and psychomotor disorders. There may be automatism such as fugue and nocturnal wandering. Sometimes, under the control of hallucinations and delusions, violent behaviors such as hurting others and self-harm can occur.

5.Autonomic seizures (diencephaly): may be headache, abdominal pain, limbalgi, syncope, or cardiovascular.

6.Those with no clear ** are primary epilepsy, and those secondary to intracranial tumors, trauma, infections, parasitic diseases, cerebrovascular diseases, systemic metabolic diseases, etc.

Epilepsy is epilepsy, and epilepsy can usually be diagnosed by a professional doctor after a comprehensive diagnosis through typical clinical symptoms, as well as electroencephalography, electromyography, head CT, MRI and other examinations. The general population cannot judge epilepsy by a symptom alone, and it is recommended to seek medical attention in time when symptoms of suspected epilepsy appear, and to make a timely diagnosis.

1. Clinical symptoms:

Epilepsy is a common neurological disease in clinical practice, if there are typical clinical symptoms such as sudden cessation of activity, falling to the ground in the hand, daze, inability to breathe or sudden loss of consciousness, foaming at the mouth, trismus, rolling of eyes, limb twitching, etc., it may be epilepsy caused by sudden abnormal discharge of brain neuronal cells.

2. Auxiliary examination:

1. Electroencephalography: Electroencephalogram is the main and accurate method for clinical diagnosis of epilepsy, if the electroencephalogram examination is carried out, it is found that there are abnormal discharges of brain neuronal cells and epileptic waves, and it can be diagnosed with epilepsy. Tests should be performed whenever clinical symptoms are present, as EEG findings may be normal when symptoms are not present.

If no obvious abnormalities are found on ordinary EEG examinations, 24-hour ambulatory EEG monitoring can also be performed;

2. Electromyography: For patients with suspected or confirmed epilepsy, electromyography examination is usually performed clinically. It is beneficial to evaluate the nerve function of muscles and determine whether there is damage to skeletal muscles;

3. Head CT and magnetic resonance: head CT or MRI examination is usually performed to judge epilepsy, which is not only conducive to judging whether there are intracranial tumors, hemorrhage and infarction and other diseases, but also to understand whether there are abnormalities in the structure of the brain, and can judge the epilepsy.