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Many people think that convulsions must be epilepsy, but this is not the case. When encountering a sudden disturbance of consciousness or accompanied by a twitch of the limbs, the patient and his family are very nervous, thinking that they must have epilepsy. Often at a loss, seek medical advice everywhere, sometimes misdiagnosed as epilepsy, take anti-epileptic drugs for several years, In fact, convulsions are not necessarily epilepsy, such as febrile convulsions, calcium deficiency, hypoglycemia, etc.
At this time, you should go to an experienced specialist to receive the necessary tests, especially the electroencephalogram (EEG), sometimes not only when you are awake, but also when you are sleeping. In some patients, a normal EEG does not rule out epilepsy, and repeat tests are required. Therefore, the diagnosis of epilepsy must be very cautious.
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Some children often have twitching arms, and many parents are worried that their children have epilepsy, so.
Common diseases such as epilepsy, encephalitis, meningitis, acute cerebrovascular disease, etc. Other neurological diseases such as acute cardiogenic cerebral ischemia, hypoglycemia, hyperthermia, poisoning, etc.
According to the experts of the epilepsy hospital, the common predisposing factors of convulsions are mostly related to the diseases suffered by the patient, such as fever can induce convulsions in children, the symptoms of epilepsy are also convulsions, hypoglycemia can induce convulsions in diabetic patients, and some patients have convulsions, or even no inducement. Common clinical manifestations of epileptic seizures include:
1. Grand mal seizure of epilepsy: the patient suddenly loses consciousness, then falls, convulsions all over the body, clenches of both hands into fists, straightens the lower limbs, sometimes can bite his tongue, spit foam with blood in the mouth, and the general convulsions last for about a minute and then stop, and then the patient gradually wakes up. A small number of people have seizures that last longer and are called status epilepticus.
2. Convulsions: It is more common in children with high fever, and the child loses consciousness, tilts his head, rolls his eyes up, stops breathing, and faces are bruised, which generally lasts for a few seconds and is relieved.
3. Acute cardiogenic ischemic attack: the patient has a history of heart disease, suddenly feels nausea during the attack, and then loses consciousness, faces and lips are blue, and the limbs twitch, the attack generally lasts for a few seconds and resolves on its own, or due to the occurrence of cardiac arrest, if cardiopulmonary resuscitation is not carried out in time, death will inevitably occur.
Many people think that convulsions must be epilepsy, but this is not the case. When encountering a sudden disturbance of consciousness or accompanied by a twitch of the limbs, the patient and his family are very nervous, thinking that they must have epilepsy. Often at a loss, seeking medical advice everywhere, sometimes misdiagnosed as epilepsy, taking anti-epileptic drugs for several years, in fact, convulsions are not necessarily epilepsy.
For example, febrile seizures, calcium deficiency, hypoglycemia, etc. can have convulsive seizures, and the diagnosis must be made before it can be made**. Specifically, hysteria can also cause the following symptoms: convulsions, paralysis, and even angular arch reflexion, and symptoms of other systems may include dyspnea, palpitations, etc.
However, seizures last for a long time, up to several hours. At this time, parents need to observe carefully, and they should go to an experienced specialist to receive the necessary examinations, especially EEG examinations, sometimes not only EEG when awake, but also EEG when sleeping. In some patients, a normal EEG does not rule out epilepsy, and repeat tests are required.
Therefore, sudden seizures in patients are not necessarily epilepsy and can only be determined after a careful diagnosis.
Experts from the epilepsy hospital remind that convulsions are not necessarily epilepsy, but convulsions can trigger the production of some diseases, so if the child often has convulsions, it must be timely**!
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There are a necessary conditions for the diagnosis of epilepsy: first: stereotyped, or repetitive, that is, the same manifestation is reversed at least twice (multiple seizures within 24 hours are regarded as a single event); Second:
Episodic, i.e., the onset and disappearance of symptoms are short, ranging from a few seconds to a few minutes, and rarely more than 10 minutes.
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When epilepsy occurs, the whole body will have convulsions, the muscles of the whole body will be stiff, and in severe cases, you will roll your eyes and foam, but not all convulsions are epilepsy, your situation depends on the muscle spasms caused by calcium deficiency or cold, it is recommended to supplement calcium appropriately, pay attention to keep warm. If it still does not improve, go to a regular hospital for examination in time.
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Convulsions are found so as not to increase the severity of the condition. Tourette's syndrome and epilepsy are two completely different diseases, Tourette's syndrome is a disease that begins to occur in children or adolescents, mainly manifested as involuntary abnormal manifestations of the face, muscles, limbs, and trunk parts, which is a specific disease, and can also be manifested as sudden abnormal discharge of brain neurons, resulting in transient chronic diseases of brain function. Whether or not this chronic condition can progress to epilepsy varies from person to person, and it can be different for each person.
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Absence with myoclonus: some patients with epilepsy have mild rhythmic clonic seizures in addition to absence seizures. It is most commonly found on the face or limbs, especially the eye face, with the eyes moving upwards and sometimes a slight twitch of the head.
Absence with tonic seizures: absence from nerves with a sudden generalized loss of muscle tone leading to a fall, resulting in injury to the forehead, nose or jaw. Recovery quickly after a fall is also known as a fall seizure.
Sometimes the seizures are mild, just a few strokes of the head down, and then they recover immediately, also known as nodding seizures.
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Not necessarily, is the patient currently conscious and conscious in a state of convulsions? Whether or not foaming at the mouth of the mouth.
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Chances are, it's better to do further checking!
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This is not necessarily, but convulsions are indeed a symptom of epilepsy.
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Tics present in the same way as epilepsy, but tics are not necessarily epilepsy. Long-term stay up late, fatigue, alcoholism, ion disorders, hyperventilation, etc., can induce convulsive seizures, and convulsions can no longer occur after removing the triggers. Due to the immature development of cranial nerves in young children, hyperthermia can induce convulsions, also known as febrile seizures, which is a monogenic genetic disease, which belongs to the susceptible population and susceptibility factors of epilepsy.
Recurrent febrile seizures, or afebrile convulsions, may develop into epilepsy. If you are not sure whether you have epilepsy, you can pay attention to the VX mini program "Epilepsy Good Doctor" consultation, or you can go to the hospital for examination and diagnosis in time.
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You can go to the hospital for a formal examination, if yes, don't worry, just control it, my friend's electronic meridian acupoint ** instrument, the effect is very good.
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Convulsions are only one of the symptoms of epilepsy, but they do not necessarily mean epilepsy, and they need to be judged according to the electroencephalogram.
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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.
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.
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According to the medical history and EEG rolling, the diagnosis of epilepsy is clear The clinical referred to benign epilepsy is a type of benign epilepsy with a good prognosis, which can resolve spontaneously with age If the seizures are few, they are basically at night, which does not affect the child's intelligence and daily life, and does not need anti-epileptic drugs** If there are more seizures or regular anti-epileptic drugs, do not worry about the drug*** and make frequent seizures of epilepsy have a serious impact on the child's intelligence and development
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Tic symptoms are not necessarily epilepsy.
The diagnosis of epilepsy needs to be consistent with its characteristics: episodic, transient, repetitive, stereotyped. Episodic means that symptoms are not persistent; Transient description of a short duration of symptoms, usually within tens of seconds to 5 minutes; Repetitiveness means that after one seizure, there must be a second seizure to meet the characteristics; Stereotypic means that the symptoms are essentially the same in each episode.
It can be seen that although the symptoms of this patient are episodic, transient, and "stereotyped? "But it's not reproducible. Patients have only two seizures of antagonistic jerks in 10 years, and since they are not typical of epilepsy, the diagnosis of epilepsy should not be considered first.
Diagnosis of epilepsy is supported by electroencephalogram (EEG), except for typical symptoms, and epilepsy can be diagnosed if there is a clear epileptiform discharge on the EEG at the time of the seizure. If the EEG is non-specific, the accuracy of the epilepsy diagnosis needs to be reconsidered. Don't easily confirm or deny the diagnosis of epilepsy, sometimes it takes time to test, after all, if it is epilepsy, it will definitely have another seizure.
Epilepsy is a long-term process, and drugs can have adverse effects on both the body and mind. Therefore, it is necessary to make a clear diagnosis before taking medication, and close observation is required during medication, so that it is not easy to misdiagnose and mistreat, and even if it is wrong, it can be detected and dealt with early.
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Convulsions are typical symptoms of epileptic seizures, but it is not possible to judge that the child is epilepsy based on convulsions alone, and febrile convulsions may also cause convulsions.
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