What should people with epilepsy do to prepare before their first visit?

The first visit is important and may involve diagnosis, differential diagnosis, etc. It is important to know that the more and more accurate relevant information provided by the patient or family member to the doctor, the greater the help for the next diagnosis and **, and the more benefit the patient will be.

First of all, the diagnosis of epilepsy is based on an accurate and detailed medical history: in other words, the medical history information provided by the patient and family (especially the seizure situation) is an important basis for diagnosing epilepsy, and EEG and brain imaging results are not a substitute for clinical history. Therefore, seizure information should be as accurate and comprehensive as possible.

Because many patients are unconscious at the time of the seizure and are unable to recall the seizure themselves, witnesses to the seizure should be accompanied, or at least the patient and family should be informed of the seizure before the visit. For example, if an attack occurs at school, you can ask your teacher and classmates about the situation. At present, many households have home digital products that can be fully utilized.

If you have already captured a seizure with a cameraable cell phone or home camera, you can provide it to your doctor at the time of your appointment, which can be very helpful in diagnosing it.

Secondly, the patient or accompanying the patient should know the information about the drug history, growth and development history, family history and other information before the visit: Specifically: What anti-epileptic drugs have been used in other hospitals (specific drug names)?

What is the dosage of each pill? What is the total daily dose of the drug? Do you take your medication regularly every day?

How effective is taking the medication? How long did the medication last? Have you ever used Chinese medicine?

Allergic to medications? Was you born full-term? Are there any abnormalities before or after birth?

Has there been a previous history of traumatic brain injury or encephalitis? Is it older to walk and talk? What was your academic performance like in school?

Do you have epilepsy or other medical conditions in your family? To avoid forgetting, this information can be recorded before the appointment. This information is of great value in determining the type of epilepsy and choosing a reasonable medication or other ** methods in the next step.

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In order to be able to communicate effectively with the doctor at the time of the visit, it is necessary to prepare the patient's seizure information, family history, etc. before the first visit. Prepare the materials, but also the correct preparation, the preparation of invalid materials is useless. Guidelines for epilepsy visits.

There is also a difference between the information provided for the first visit and the follow-up visit. After the first visit, the frequency of follow-up visits also requires special attention. To record seizures for epilepsy patients**, you need to grasp the main points to avoid the uselessness of the recorded video.

These include the following tests:

Historical data: A complete and detailed seizure history is helpful in distinguishing whether it is a seizure, the type of seizure, and the diagnosis of epilepsy and epilepsy syndrome. Because epilepsy is a seizure disorder with a short seizure time, the vast majority of patients are in the interictal period when they seek medical attention, and the probability of doctors witnessing seizures in patients with epilepsy is very small, so it is necessary to ask in detail, and the patient, his family or colleagues and other witnesses should obtain a detailed and complete seizure history as much as possible.

Physical examination: including general internal medicine system examination, human and neurological examination. The focus should be on the nervous system, attention should be paid to the patient's mental state and intelligence, attention should be paid to whether the patient's speech is normal, and attention should be paid to the examination of the fundus when examining the eyes, and the physical examination should be helpful for the diagnosis of epilepsy.

Auxiliary examination: EEG is one of the most commonly used, most convenient, most valuable and most important means in the diagnosis of epilepsy, because epilepsy patients have seizures, they are generally treated after the fact, so few doctors see the manifestations of seizures in epilepsy patients, and their families and themselves cannot correctly describe the symptoms and manifestations, ambulatory EEG, etc., which are more accurate in the diagnosis of epilepsy.

Symptom examination: syncope, convulsions, rolling eyes, clenching teeth, should be afraid of light and water, nervousness, spasms, delusions, etc. are all manifestations of epilepsy, seizures and headache, abdominal pain, limb pain, syncope or cardiovascular, no clear ** is primary epilepsy, secondary to intracranial tumors, trauma, infection, parasitic diseases, cerebrovascular diseases, systemic metabolic diseases, etc.

Symptoms of epilepsy.

Common auras can be special sensory visual hallucinations, olfactory hallucinations, vertigo, and general sensory limb numbness and electric shock. This is one of the symptoms of common epilepsy. About half of patients have aura, which refers to experiences that occur in the moments leading up to loss of consciousness.

After the convulsions stopped, the patient entered a comatose and comatose state, and then gradually became awake, and some patients had abnormal mental behavior during the awakening process, manifested as struggle, resistance, and restlessness.

Simple partial seizures: also known as localized seizures. Seizures that are not accompanied by impaired consciousness are motor, sensory, and autonomic symptoms and are one of the symptomatic manifestations of epilepsy.

The above are just some of the precursors that people with epilepsy exhibit. Because there are many symptoms of epilepsy, this is only a part, in addition to these aspects, epilepsy patients will also show symptoms of grand mal seizures, such as: foaming at the mouth, general convulsions and other symptoms.

Because each person's constitution will be different, the symptoms of epilepsy will be slightly different.

What are the symptoms of epilepsy? Epilepsy is a frequent occurrence in our lives, and the onset of this disease is usually sudden, so it often makes the patient overwhelmed.

The causes of epilepsy are mainly due to head trauma, meningitis, or intrauterine asphyxia and hypoxia. The clinical manifestations are trismus above the eyes, foaming at the mouth, twitching of the limbs and other clinical symptoms, and it is recommended that you go to the hospital for electroencephalogram and cranial magnetic resonance to clarify. At present, some anti-epileptic drugs are mainly used, such as sodium valproate orally**.

In general, epilepsy has no precursor.

Seizures are caused by a sudden, transient disturbance of the bioelectrical activity of nerve cells in the brain, which can only be detected by electroencephalography. An EEG can help doctors determine whether a person has epilepsy, whether they need to take antiepileptic drugs, determine what type of epilepsy they have, which antiepileptic drug to choose, estimate how active their epilepsy is, whether they can reduce or stop antiepileptic drugs, and what the risk is after stopping the drug.

You should go to a large regular hospital for examination, such as electroencephalogram and brain CT can find abnormal lesions that cause epilepsy, and you should seek medical attention as soon as possible; During seizures, pay attention to prevent sudden convulsions and trauma and tongue bites - you can be supervised by a special person, limit going out, or hang a reminder on his chest (in case of seizures, let others understand and be able to send him for treatment in time) and contact ** address board (convenient to contact family members); Wear a helmet on the head in case of traumatic brain injury during an attack; During the seizure, you can use a soft object such as a strip of cloth to put it between the upper and lower teeth to prevent the tongue from being bitten...