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Some people experience symptoms similar to those of an epileptic seizure but without any unusual electrical activity in the brain. When this happens it is known as a non-epileptic seizure (NES). NES is most often caused by mental stress or a physical condition.
As the seizure spreads across the brain, more symptoms appear. If the abnormal electrical activity involves a large area of the brain, the person may feel confused or dazed, or experience minor shaking, muscle stiffening, or fumbling or chewing motions.
The following points should be covered when taking the history from a patient or witness: events provoking attacks. warnings of attacks. motor features: sensory features: level of consciousness during attack. length of attack. presence of pallor, cyanosis or flushing. characteristics and duration of the recovery phase.
A seizure is an abnormal, unregulated electrical discharge that occurs within the brains cortical gray matter and transiently interrupts normal brain function; a seizure typically causes altered awareness, abnormal sensations, focal involuntary movements, or convulsions (widespread violent involuntary contraction of
Motor symptoms may include sustained rhythmical jerking movements (clonic), muscles becoming weak or limp (atonic), muscles becoming tense or rigid (tonic), brief muscle twitching (myoclonus), or epileptic spasms (body flexes and extends repeatedly). Non-motor symptoms are usually called absence seizures.
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Write down what happened as soon as you can. Include as much information as possible about the following areas: BEHAVIOR BEFORE THE SEIZURE - what was the person doing at the time of event, change in mood or behavior hours or days before, warning or aura shortly before event.
Documentation of initial medical history and physical should include the date of seizure onset, type and frequency of seizures, description of typical seizures, previous antiepileptic drugs (AEDs) used, and the date of the last seizure.
Write down what happened as soon as you can. Include as much information as possible about the following areas: BEHAVIOR BEFORE THE SEIZURE - what was the person doing at the time of event, change in mood or behavior hours or days before, warning or aura shortly before event.
Keeping a seizure diary Your seizures and their types. How long they last. When you change anything about your epilepsy medicine. Possible side-effects of your epilepsy medicines. What other possible seizure triggers there might have been for you. Your monthly periods, if you think they may affect when your seizures happen.
During the seizure Was there any change in muscle tone (did they become stiff or floppy)? Did they fall down and, if so, forwards or backwards? Did they lose awareness, appear dazed or confused or lose consciousness? Was there any change in their breathing pattern?

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