Panic Spells

Dec 31, 2018 by in PSYCHIATRY Comments Off on Panic Spells

Introduction Print Section Listen The case described above illustrates the common confusion between panic attacks resulting from a panic disorder and ictal fear or ictal panic, which is the expression…

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Dissociative Spells

Dec 31, 2018 by in PSYCHIATRY Comments Off on Dissociative Spells

Introduction Print Section Listen A large proportion of patients undergoing video-electroencephalography monitoring (VEM) do not have epileptiform electroencephalographic (EEG) changes during their spells, and approximately one third of patients admitted…

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Psychogenic Nonepileptic Spells

Dec 31, 2018 by in PSYCHIATRY Comments Off on Psychogenic Nonepileptic Spells

Introduction Print Section Listen Psychogenic nonepileptic seizures (PNES) is the final diagnosis in approximately 30% of patients presenting to specialized epilepsy centers for intractable epilepsy.1–3 PNES specifically related panic and…

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Primary Generalized Tonic-Clonic Seizures

Dec 31, 2018 by in PSYCHIATRY Comments Off on Primary Generalized Tonic-Clonic Seizures

Introduction Print Section Listen Generalized tonic-clonic (GTC) seizures may be either primary or secondary in onset.1 Although the older terms grand mal, convulsion, and fit are still widely used by…

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Fundamentals of EEG

Dec 31, 2018 by in PSYCHIATRY Comments Off on Fundamentals of EEG

Introduction Print Section Listen This chapter provides a brief introduction to fundamental aspects of electroencephalography (EEG), with a special emphasis on aspects of EEG that are particularly relevant to video-EEG…

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Complex Partial Seizures of Extratemporal Origin

Dec 31, 2018 by in PSYCHIATRY Comments Off on Complex Partial Seizures of Extratemporal Origin

Introduction Print Section Listen Many seizures arise from frontal, parietal, and occipital lobes, and these are collectively referred to as extratemporal seizures. They are commonly encountered, and merit recognition because…

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Secondarily Generalized Seizures

Dec 31, 2018 by in PSYCHIATRY Comments Off on Secondarily Generalized Seizures

Introduction Print Section Listen In clinical practice, epileptic seizures with focal onset and subsequent generalized motor involvement are referred to as secondarily generalized seizures.1,2 However, generalized motor manifestations do not…

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Epileptic Myoclonus

Dec 31, 2018 by in PSYCHIATRY Comments Off on Epileptic Myoclonus

Introduction Print Section Listen Myoclonus is defined as sudden, brief, shocklike movements caused by muscle contractions (positive myoclonus) or inhibitions (negative myoclonus). It can be confusing to clinicians because of…

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Infantile Spasms

Dec 31, 2018 by in PSYCHIATRY Comments Off on Infantile Spasms

Introduction Print Section Listen Infantile spasms, also known as infantile epileptic encephalopathy (IEE), is a severe form of childhood epilepsy that typically manifests within the first year of life and…

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