What is a pseudoseizure? What is it about epilepsy always having seizures in sleep?

In fact, many epilepsy patients do not have a seizure in most cases, just a false condition, but many patients are likely not to have a good grasp of this matter, so they mistakenly think that it is true, and epilepsy has been sleeping and having seizures quietly, which also makes many people not understand, the family doctor ** interviewed the Second People's Hospital of Guangdong Province.

Lin Jinzhi, the deputy chief physician, will give you a detailed description of the false seizures.

Is it? Why does epilepsy always occur at night?

Pseudoseizures are a group of symptoms that medically resemble a seizure in a person with an epileptic condition, but it is not a seizure. Because pseudoseizures are in the case of EEG, it does not discharge abnormally with the human brain, and the common cause of pseudoseizures is psychogenic seizures. Dr. Lin Jinzhi believes that in order to distinguish whether it is pseudoseizure, in addition to looking at the symptoms, the key is to use the examination of EEG to see if there is abnormal discharge in the human brain, so that there can be accurate identification.

Studies have shown that seizures are related to the regularity of day and night, according to The Lancet in December '18

An article above suggests that sleep quality - improving personal behavior and circadian rhythm can control interictal epileptiform discharge and its seizure thresholds.

Frontal lobe epilepsy, in particular, occurs almost completely during the entire sleep process at night. The circadian rhythm of the actual seizure is closely related to the location of the lobe of the brain to which the epilepsy belongs.

In the case of the first seizure of epilepsy, it is recommended that the patient go to the hospital for reliable examinations, including EEG, imaging diagnosis, cranial CT, and MRI.

These. The purpose is to better diagnose the details of this first attack, so as to prepare for the next step of formulating a scientific and reasonable plan. Epilepsy is the main manifestation of abnormal electrical discharges of neurons in the brain, and the underlying cause of calcium-deficient tics is calcium ions.

The human brain is not very discharged, and it causes the muscles of the whole body or the whole body to twitch.

In the case of a seizure, relatives can put some soft items in the patient's lips, such as cotton towels, which can prevent the patient from biting their lips, and also do not let the patient run around casually to avoid hurting himself and try to calm him down.

Pseudoseizures are those that look like epilepsy from the outside, but in fact they are not, they are just psychological, and they often have seizures while sleeping, because their minds are heavier and they are easy to think about more things, so they should relax their minds.

Influenced by the psyche as well as by the psyche, it eventually leads to problems similar to epilepsy. It may be that there is a problem with your sleep quality, and at this time, the brainwaves in the brain will weaken, which will lead to such a result.

It is vomiting, but it is not uncomfortable, and if it occurs at night, it is because the temperature is low at night, and it is easy to have a seizure.

Pseudoseizures.

Pseudoepileptic seizures, which are characterized by epilepsy, are similar to epilepsy, with sudden loss of consciousness, tonic-clonic of the limbs, upturned eyes, trismus, foaming at the mouth, and even urinary incontinence.

damage, etc. Extended Materials].

1. Refers to the presence of epileptiform manifestations without abnormal electrical discharges in the brain. It is difficult to make a diagnosis in the emergency room. What works well for some patients is to distract the patient by shouting or bright lights, which can quickly stop the seizures.

If the patient is able to do an EEG.

Can make a diagnosis (not often used in the emergency department).During pseudoseizures, no abnormal electrical discharges can be observed. At the same time, after 20 minutes of "epileptic" seizure, serum prolactin.

can distinguish between true and pseudoepilepsy. In true epilepsy, serum prolactin levels are at least twice as high, whereas pseudoepilepsy is still in the normal range. Obviously, there is no one method that is suitable for the emergency department, as pseudoepilepsy often occurs in the presence of an underlying "true" epilepsy.

In recent cases, the diagnosis is rarely confirmed in the emergency department.

2. Pseudoseizures have epileptic-like manifestations and there is no abnormal electrical discharge in the brain, and it is more difficult for the emergency room to make a diagnosis.

3. What works well for some patients is to distract the patient by shouting or bright lights, which can quickly stop the seizures, and can be diagnosed if the patient can do an electroencephalogram.

Fourth, the specific clinical symptoms are seizures, but they are often related to mental factors, and this pseudoepilepsy is related to some other diseases, such as depression.

Other hysteria.

and so on. 5. No abnormal discharges can be observed during pseudoseizures, and the detection of prolactin in the serum 20 minutes after the pseudoseizure can distinguish between true epilepsy and pseudoepilepsy. In true epilepsy, serum prolactin levels are at least twice as high, whereas in pseudoepilepsy lactation is generally in the normal range.

Epilepsy generally occurs during sleep, most commonly in the light sleep stage, which is the light sleep stage in stage 1-2, which is prone to seizures. Because the inhibitory function of the brain decreases during sleep, the excitability of cells under the cerebral cortex increases, resulting in discharge, and it is easy to have a release symptom, so epilepsy always occurs during sleep, and there are seizures during sleep. During sleep, the role of the reticular ascending activation system decreases, the excitability of the brain decreases, the brain's inhibitory effect on the surroundings decreases, and it is easy to appear in the diseased cerebral cortex to show abnormal discharge, which leads to the occurrence of seizures.

Most people with epilepsy tend to have seizures at night, especially during the early stages of sleep.

Epilepsy is a neurological disorder, and its main feature is reversive seizures. As to why your friend only has seizures while sleeping, it may be due to changes in his sleep cycle and electrical activity in the brain.

There are many types of epilepsy, and some of them may occur more often during sleep. For example, some people may experience partial seizures during sleep, which are caused by abnormal electrical discharges from neurons in the brain. Another possibility:"Nocturnal seizures"This type of epilepsy occurs only during sleep and rarely or non-existently during the day.

In addition, there are other types of epilepsy that are associated with sleep blockage.

Therefore, it is advisable for your friend to consult a professional doctor as soon as possible for a detailed assessment and diagnosis. Epilepsy can be controlled with medications or surgery, so early diagnosis and epilepsy are very important.

Epilepsy is a neurological disorder in which patients experience symptoms such as impaired consciousness, muscle twitching or convulsions, and foaming at the mouth during seizures. The cause of seizures while sleeping may be related to the patient's physical condition, biological clock, medication use, etc. Some people with epilepsy experience electrophysiological abnormalities during sleep, which may cause seizures.

In addition, some medications may also affect sleep quality, which can induce seizures. It is recommended that your friends seek medical treatment in time, and professional doctors will formulate a plan according to the specific situation.

The reflexive behavior of epilepsy has a great impact on people's physical and mental health, and may even affect the normal development of patients' intelligence. Timely identification of epilepsy symptoms and undergoing ** can effectively reduce the adverse effects of epilepsy, but sometimes some manifestations of hysteria are often treated as seizures, resulting in the failure of both diseases to be effective**. So how do you recognize a seizure with pseudoepilepsy?

Epilepsy and hysteria Epilepsy is a chronic condition in which neurons in the brain suddenly and abnormally discharge, resulting in transient brain dysfunction. Seizures are clinical phenomena caused by abnormal and excessive hypersynchronized electrical discharges of neurons in the brain, which are characterized by sudden and transient symptoms, and have a variety of manifestations depending on the location of the neuron in the brain. May be motor sensory or autonomic with or without changes in consciousness or alertness.

The original annotation of the word hysteria was "psychopathy", also known as hysteria, and is one of the more common psychosis. At present, it is believed that hysteria patients mostly have personality traits such as susceptibility to suggestion, exaggeration, emotion and high self-centeredness, and often cause the onset of hysteria due to mental factors or bad suggestion. A variety of clinical symptoms can be present, such as sensory and motor dysfunction, dysfunction of internal organs and autonomic nerves, and psychiatric abnormalities.

There is no basis for organic damage to these symptoms, and they can arise by suggestion, change or disappear by suggestion. Difference between pediatric hysterical seizures and epilepsy: Pediatric hysterical seizures are more common in older children and are closely related to psychiatric factors.

Hysterical tics are irregular and irregular without loss of consciousness and incontinence. Hysterical fainting that falls slowly, is uninjured, has a changed complexion, has normal pupillary reflexes, and is able to recall after the seizure. Hysterical seizures are related to the surrounding environment, often occurring at a noticeable time and place, and are exacerbated by the presence of people.

Suggested** to terminate hysterical episodes. Electroencephalogram is normal at the onset of hysteria. Effective identification of pseudoseizures can help children receive the correct seizures in time, eliminate seizure symptoms, and also reduce the psychological burden of children and parents.

There is a certain organic basis for the seizures of epilepsy, so it is more complex than hysteria. If you find that your child has symptoms that are suspected of having a seizure, you should seek medical attention in time, and if it is confirmed, you should actively cooperate with the doctor for professional treatment**.

It can be dangerous when it happens. Fall to the ground, foaming at the mouth. Fall to the ground and break your brain. Foaming at the mouth can cause suffocation, which is directly life-threatening, so people with epilepsy generally need to be accompanied by family members.

Narcolepsy is an unexplained** sleep disorder in which patients often manifest sleep reactions regardless of time, place and occasion. Patients can wake up after falling asleep, but people with epilepsy cannot. There are also some patients who have complications such as sleep paralysis and sleep onset hallucinations, which are often referred to.

The age of onset is most common between 10 and 20 years of age.

Suggestion: Patients with hypersomnolly cannot resist sleep, especially in a quiet environment, or after meals and afternoon attacks, most patients will have drowsiness aggravation before the attack, and some patients have struggled to resist this drowsiness. There are also a small number of patients who suddenly fall asleep when awake, generally lasting up to a few hours, but the patient's sleep level is not deep, it is easy to be awakened, awake conscious, and may have multiple seizures a day.

Narcolepsy is not the same as epilepsy.