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Epileptic Aura


Presentation

  • We report a patient who presented with a whole body microsomatoagnosia as part of an epileptic aura.[ncbi.nlm.nih.gov]
  • Focal Seizures may present as abnormal involuntary movements or auras described above. They used to be called simple partial seizures.[doctorstrizhak.com]
  • This occurs when one has a feeling that every detail of a current situation is familiar or that one has predicted the events of the present moment. This prediction is felt to be "real and true."[intropsych.com]
  • The study also found that headaches can present as diverse features, including tension-type headache, and migraine-like headache.[epilepsysociety.org.uk]
  • CEREBRART: BRAIN, TIME AND CHAOS (presented at the 8th FENS Forum of Neuroscience in Barcelona) It wasn’t so long ago that the famous nov... Not CEREBRART but interesting. James Prosek; "Why are we so eager to draw these disciplinary walls?" ...[cerebrart.blogspot.com]
Severe Pain
  • Trigeminal Neuralgia is a disorder affecting the trigeminal nerve (the 5th cranial nerve), causing episodes of sudden, severe pain on one s...[cerebrart.blogspot.com]
  • Severe pain in, r. shoulder-joint while sitting thinking, 9 p.m.; on raising arm. Felt in dorsum of l. hand as if a large spider were crawling over it; soon afterwards felt same sensation in dorsum of the r. hand (Proell, after 40 drops). 23.[homeoint.org]
  • Severe pain in right shoulder-joint while sitting thinking, nine PM, worse on raising arm.[homeopathycenter.org]
Movement Disorder
  • The most important imitators of epileptic seizures are dizziness, vertigo, syncope, complicated migraine; and somewhat less frequently sleep disorders, transient cerebral ischemia, paroxysmal movement disorders, endocrine or metabolic dysfunction, delirium[books.google.ro]
  • Reduced PRRT2 protein may lead to altered synaptic neurotransmitter release and dysregulated neuronal excitability, resulting in paroxysmal movement disorders and seizure. 65 Mutations in this gene are also hypothesized to be involved in hemiplegic and[ncbi.nlm.nih.gov]
Infertility
  • Robert L Reid MD FRCSC, Chair, Division of Reproductive Endocrinology and Infertility, Queen’s University, Kingston, ON, Canada References: Herzog AG. Catamenial epilepsy: Definition, prevalence, pathophysiology and treatment.[endotext.org]
Rhinitis
Blurred Vision
  • ., flashing lights, blurred vision, odours, sensation of a breeze, numbness, weakness, difficulty speaking) or objective (motor) event marking the onset of an epileptic attack, gran mal seizure or a migraine. aura Neurology A subjective—illusionary or[medical-dictionary.thefreedictionary.com]
  • Later he had attacks of blurred vision followed by severe headache.” At age 7, he developed episodes that he described as “dreams, in which he heard male and female voices arguing, talking, or screaming at him.[onlinelibrary.wiley.com]
Visual Hallucination
  • COMPLEX VISUAL HALLUCINATIONS Only patient 3 in the progress of his elementary visual hallucinations saw “large objects, probably people, which I cannot identify”.[jnnp.bmj.com]
  • The authors stress the need to evaluate visual hallucinations both quantitatively and qualitatively to distinguish epilepsy, and especially benign childhood occipital seizures, from migraine phenomena.[pediatricneurologybriefs.com]
  • Seizures in the area of cortex that process complex visual pattern recognition (the inferotemporal cortex) can produce complex visual hallucinations. In general, the symptoms produced by seizure activity depend upon the area of the brain involved.[intropsych.com]
  • An aura is an unusual sensation or feeling, such as a visual hallucination; strange sound, taste or smell; or an urgent need to get to safety.[sharecare.com]
  • These are characterised by visual hallucinations such as flashing or flickering lights, spots or other shapes. The second most common experience was a Cephalic aura.[livingwellwithepilepsy.com]
Aura
  • Patients that could react to their aura prior to a seizure scored higher on the internal subscale of the Multidimensional Health Locus of Control questionnaire compared to participants that could not react to their aura.[ncbi.nlm.nih.gov]
  • This case report illustrates that "sensed presence" can occur as an epileptic aura with or without religious interpretation.[ncbi.nlm.nih.gov]
  • Surface electroencephalogram frequently fails to detect any changes during an isolated aura. The incidence of auras in partial epilepsy remains imprecise and there are marked discrepancies among authors.[ncbi.nlm.nih.gov]
  • An aura implies that a more intense or developed seizure is coming.” Some individuals have been known to experience auras for months or years without realizing that they are actually having small seizures.[uchealth.com]
  • aura [ aw rah ] (pl. auras, au rae ) a peculiar sensation preceding the appearance of more definite symptoms.[medical-dictionary.thefreedictionary.com]
Chorea
  • Huntington’s disease or Huntington’s chorea, from the Greek word for “dance” is the most common genetic cause of chaotic involuntary movem...[cerebrart.blogspot.com]
  • Twitching in hands and legs like chorea (B3). 22. Upper Limbs. Severe pain in, r. shoulder-joint while sitting thinking, 9 p.m.; on raising arm.[homeoint.org]
  • Twitching in hands and legs like chorea (B3). Upper Limbs. Severe pain in right shoulder-joint while sitting thinking, nine PM, worse on raising arm.[homeopathycenter.org]
Macropsia
  • Macropsia? Micropsia , a common aura, is a sudden feeling that things look very far away and small, or the environment is moving away into the distance.[intropsych.com]
  • Things may appear shrunken (micropsia) or larger (macropsia) than usual.[emedicine.medscape.com]
  • […] auras include: Vision (visual): Visual auras can be simple, such as seeing bright flashes of light, dark spots, or tunnel vision, or they can be complex or experiential, such as blindness, visual hallucinations, illusions, and distorted scenery like macropsia[verywell.com]
Drop Attacks
  • A whole body muscle tone loss leads to so called drop attack. Face injuries are common in drop attacks. Atonic seizures last less than 5 seconds and are typically followed by brief confusion.[doctorstrizhak.com]
  • Atonic seizures, also known as drop attacks, drop seizures or akinetic epileptic drop attacks, may involve a sudden loss of muscle tone, a head drop or leg weakening. People suffering an atonic seizure may suddenly collapse.[uchospitals.edu]
  • Other seizure terms include: Atonic (Drop Attacks), Myclonic, Infantile Spasms, Nocturnal, Photosensitive, Visual, Musicogenic, Jacksonian, Sensory, Bilateral Myclonus, Atkinetic, Autonomic, Prolonged seizures, and Ictal State.[knowingepilepsy.tripod.com]
Micropsia
  • What is micropsia? Macropsia? Micropsia , a common aura, is a sudden feeling that things look very far away and small, or the environment is moving away into the distance.[intropsych.com]
  • Things may appear shrunken (micropsia) or larger (macropsia) than usual.[emedicine.medscape.com]

Treatment

  • He is currently involved in a collaborative project with the University of Utrecht, on model based and model free analyses of fMRI activation patterns obtained from individuals with verbal auditory hallucinations, and an experimental treatment method[books.google.ro]
  • Based on their extensive clinical experience, the authors provide a personal perspective on diagnosis and treatment.[books.google.ro]
  • “In this way the aura offers an additional treatment option,” Privitera says. “The patient can give an extra dose of the vagus nerve stimulation at the time of the aura.” This entry was posted in Articles. Bookmark the permalink.[uchealth.com]
  • A person with symptoms of meningitis requires admittance to hospital for urgent medical treatment. Treatment: Depends upon the cause of the meningitis, which is established by analysis of the cerebrospinal fluid.[profindsearch.com]

Prognosis

  • Abstract This is a qualitative and chronological analysis of ictal and postictal symptoms, frequency of seizures, family history, response to treatment, and prognosis in nine patients with idiopathic occipital epilepsy and visual seizures.[jnnp.bmj.com]

Etiology

  • Olfactory auras are rare, however, when they occur the most likely etiology is a tumor involving the amygdala and hippocampus. Somatosensory auras include sensations of tingling or numbness, electrical feeling or very occasionally, pain.[ncbi.nlm.nih.gov]
  • The revised 2015 ILAE status epilepticus classification utilizes 4 axes: 1) seizure semiology, 2) etiology, 3) EEG correlates, and 4) age to classify status epilepticus ( Trinka et al 2015 ).[medlink.com]
  • The etiologic factors are similar to those initiating seizure recurrence and status epilepticus. Occasionally epilepsia partialis continua is the presenting manifestation of a seizure focus.[dartmouth.edu]
  • […] the epileptic seizure has terminated D Not better accounted for by another diagnosis Not better accounted for by another diagnosis Classification of seizures and epilepsies by International League Against Epilepsy (ILAE), focusing on the networks and etiologies[ncbi.nlm.nih.gov]

Epidemiology

  • Epilepsy Classification Epilepsy Epidemiology Epilepsy Pathophysiology Epilepsy Syndromes[news-medical.net]
  • Epidemiology Headache, including migraine, is a common neurological disease.[ncbi.nlm.nih.gov]
  • Epidemiologic studies have found that epilepsy and migraine are comorbid conditions. The prevalence of migraine in patients with epilepsy is estimated at 8% to 24%, so the risk of migraine is twice that of the normal population.[mdedge.com]
Sex distribution
Age distribution

Pathophysiology

  • CONCLUSION: The clinical manifestations of the epileptic auras are extraordinarily diverses and, therefore, the knowledge of their pathophysiology, characteristics, incidence and association with differents types of focal epilepsy are the clue to obtain[ncbi.nlm.nih.gov]
  • In: Lueders HO, Noachtar S (eds) Epilepsy seizures: pathophysiology and clinical semiology. Churchill Livingstone, Philadelphia, pp 237–242 Google Scholar Ebner A, Kerdar MS (2000) Olfactory and gustatory auras.[link.springer.com]
  • “There is fundamentally a shared pathophysiology of both conditions,” said Dr. Rogawski.[mdedge.com]
  • “The hope of scientists, caregivers, and families with epilepsy is that genetics will offer a novel and wider understanding of the causes and the pathophysiology of epilepsy,” study co-author Melodie R.[neurologyadvisor.com]
  • Higher prevalence of migraine was also documented patients in this syndrome. 50 Pathophysiology Most studies on the possible common pathophysiology underlying headache and epilepsy support the hypothesis of excessive neo-cortical cellular excitability[ncbi.nlm.nih.gov]

Prevention

  • According to the Centers for Disease Control and Prevention, about 2.4 million adults have active epilepsy.[yaledailynews.com]
  • Auras also have a further advantage for patients who have been treated with a vagus nerve stimulator, a surgically implanted device that delivers electrical pulses at regular intervals to help prevent seizures.[uchealth.com]
  • One of the best, most inexpensive, ways to prevent, treat, and generally care for any sinus related problem is with a saline (salt water) sinus rinse. The one I use is called "Neil Med" and can be purchased at Walgreen's for about 15.[medical-dictionary.thefreedictionary.com]
  • How to prevent seizures during night sleep Some epileptics have seizures during the night without even being aware of them when waking up in the morning.[normalbreathing.com]
  • Do - prevent crowds gathering round. Do - place a cushion or some clothing under the person's head to prevent injury. Do not - try to restrain the person.[patient.info]

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