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Doctor insights on: Pet Ct Refractory Seizures Presurgical Evaluation

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No medical hist. developed respiratory prob.viral infect. with headache&vomiting, left facio-brachial seizures that became continuous, evolving into refractory status epilepticus, with bilateralization. Tests are fine. Now in coma and no diagnostic?

No medical hist. developed respiratory prob.viral infect. with headache&vomiting, left facio-brachial seizures that became continuous, evolving into refractory status epilepticus, with bilateralization. Tests are fine. Now in coma and no diagnostic?

Seizures: This sounds like meningitis and encephalitis from an infection. Sometimes there are clues in the complete blood count. Bacterial infections typically show a predominance of neutrophils (also called granulocytes), while viral infections often show a predominance of monocytes or other lymphocytes. Also, if intubated then probably there are sedative medications changing mental status as well. ...Read more

Dr. Erik Borncamp
1 doctor shared a insight

Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! the image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more


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Can someone tell me what seizures are like in status epilepticus?

Can someone tell me what seizures are like in status epilepticus?

No recovery between: Status epilepticus means no recovery between seizures lasting more than 30 minutes--- it could be evident tonic clonic jerking or could be non convulsive status like patient in a non responsive state but not jerking there is other kinds of status like simple partial. ...Read more

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Living with Seizures (Checklist)

Sleep 6-8 hours each night
daily
Wear a medical alert bracelet
Once
Limit your alcohol intake as much as possible
Once
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How are serial seizures and status epilepticus treated?

How are serial seizures and status epilepticus treated?

STATUS EPILEPTICUS: Status epilepticus is an emergency and can be fatal, generally any seizure lasted more than 20-30 minutes or multiple seizures occurred without returning to normal alertness between those seizures called status. Treatment includes, preserving the breathing may need intubation, seizure medication is needed to stop the status and transfering the patient to intensive care unit always needed. ...Read more

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If this is the first time I am having seizures but it lasted more than 30 minutes, is it considered status epilepticus?

If this is the first time I am having seizures but it lasted more than 30 minutes, is it considered status epilepticus?

Depends: The details provided are sketchy and definitions vary, but traditionally status epilepticus is defined as one continuous, unremitting seizure lasting longer than 5 minutes, or recurrent seizures without regaining consciousness between seizures for greater than 5 minutes. 5 min has been chosen as this is the time frame when the seizures are unlikely to self-terminate and neuron damage can occur. ...Read more

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What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart

What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart

Status epi: Long-lasting status is a difficult case and can be serious. People who have recovered from status have a much better prognosis, with rare relapses, but they should continue anticonvulsant medications afterwards. They will likely always be on at least one medicine. ...Read more

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Seizures , with no recollection of , comes too yelling , cursing at whoever is there labs CT scan all good?

Seizures , with no  recollection of , comes too yelling  , cursing at whoever is there  labs CT scan all good?

Episodic events: You seem to describe episodes when you lose control. This is referred to as episodic discontrol. There are several causes. Seizure activity can be an association, but the behavioral issues are the problem. Some lose control following a seizure, some with migraine, and some with emotional distress. Attempts to associate violent acts with seizures rarely succeed. Eeg during event is the test. ...Read more

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If a person had road accident due to seizure. Then after two hours of accident will seizure show in.Ct scan or not?

Not: Ct scans show brain structure but do not show brain function. A seizure is a disorder of brain function, and so cannot show if someone had a seizure. ...Read more

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My son had a seizure a couple weeks ago and now we have noticed two lumps on his head. The CT scan was normal and didn't show any abnormalities.

My son had a seizure a couple weeks ago and now we have noticed two lumps on his head. The CT scan was normal and didn't show any abnormalities.

Further Eval needed: If this was his first seizure ever, then he needs additional evaluation with a pediatric neurologist. Workup may include an MRI of the brain, EEG or other testing. More than likely, the lumps on his head are the result of the seizure and are related to mild head trauma. I would recommend that he see a pediatric neurologist. ...Read more

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Does a CT scan show if someone had a seizure? What are seizure symptoms?

Does a CT scan show if someone had a seizure? What are seizure symptoms?

Not usually: A seizure is uncontrolled electrical activity in a portion of the brain, which sometimes extends to involve the whole brain. Symptoms can be as little as a "1000 mile stare", to extreme flailing of the arms and legs. If the seizure is due to a mass in the brain, ct may see it, but MRI is better. Usually, the cause of seizures is a tiny "scar" in the brain, hard to identify even on ct or pet/ct. ...Read more

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Child was healthy when he was born..Now he 4-year-old is like crazy..Occasionally exposure to seizure..Ct scan for him is normal!..Please help!

Child was healthy when he was born..Now he 4-year-old is  like crazy..Occasionally exposure to seizure..Ct scan for him is normal!..Please help!

SEIZURES: There are many causes of seizures. Below 5 it could be febrile seizures. Petit mal, psychomotor , plumbism are to be ruled out. Pls. See a peds neurologist for consult. ...Read more

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Can a CT scan spot seizure activity then alert them to do an eeg?

Possibly: Generally ct scans show anatomy; they do not show function (pet scan needed for that). However, ct may detect an anatomical abnormality (like an arteriovenous malformation) that might be a seizure focus. Work-up for new-onset seizures usually includes an eeg. ...Read more

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Had a seizure had CT now they want me to have an MRI and EEG what could be wrong help can some one please answer

Time will tell: This is standard work up for seizure. Mri will look for an anatomic abnormality. The eeg will look for a functional abnormality ("misfiring brain cells"). Since they feel an MRI is necessary, tumor or bleed is unlikely. There's no way to tell what is wrong until all the testing is done. ...Read more

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I hit my head on bedside table during seizure, was out for about 1.5 hrs though this may have been usual post ictal. Ct-nad. Nightmares daily, why?

Post concussive: Post concussive syndrome can be accompanied by nightmares. Also, post traumatic stress disorder can cause nightmares. Other symptoms include avoidance of the perceived threat and flashbacks. Nightmares can also occur normally or as a part of other psychiatric and sleep conditions. Occasionally, medications can cause or worsen nightmares. ...Read more

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July 5th CT scan for headaches.It was normal. 5 days later jerks when trying to sleep.Now think I'm having brief seizures at night.No history of seizu?

July 5th CT scan for headaches.It was normal. 5 days later jerks when trying to sleep.Now think I'm having brief seizures at night.No history of seizu?

Hypnagogic jerks: Our bodies sometimes jerk briefly as we are entering sleep. It may wake us. They last less than one second. They are common and not harmful. The best way to know if you are having seizures at night is to have a sleep study, but what you describe does not sound like a seizure. ...Read more

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Hey doc .... when ECG , CT scan n everything is normal ... ehat condition may cause seizures ? ...... thank u :)

Causes of seizures: Stimulants, brain lesions / trauma, withdrawal from chloride channel drugs (benzodiazepines and barbiturates), electrolyte abnormalities and genetic predisposition top the list of things that can cause seizures. Some medications make seizures more likely (lowering of the seizure threshold) The list is extensive. Discuss the matter with a neurologist. Did you get an EEG or an ECG ? ...Read more

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My son had an EEG and CT scan after a 1st time seizure..both normal, but now he has 2 lumps on the back of his head?

My son had an EEG and CT scan after a 1st time seizure..both normal, but now he has 2 lumps on the back of his head?

Reaction: Are the bobs in an area where the EEG electrodes were placed? We use a mild adhesive to keep them on the scalp which can irritate the skin in some cases. ...Read more

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I had a seizure in my sleep 14 years ago I just had a CT scan that was fine my dr said there is no need for an EEG is CT good enough or no?

Probably: One seizure in 30 years with no central nervous system lesion to account for it (ct normal) and no progression (no further seizures - free of them for 14 years), leaves little reason for concern or to justify the eeg. This is if you are on no anticonvulsants. And assuming you do not have ongoing neurologic symptoms like difficult to treat headaches, perceptual changes, muscle weakness, lapses, etc. ...Read more

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I fell on a concrete floor while having a seizure 6 days ago. I hit my head hard. They said they found nothing in the CT. Why does my head hurt still?

I fell on a concrete floor while having a seizure 6 days ago. I hit my head hard. They said they found nothing in the CT. Why does my head hurt still?

Multiple reasons: Your head could still hurt from a deep bruise in the scalp and even a bone bruise on the skull itself, a superficial hematoma, or sore spasming muscles in the scalp or even neck. If you continue to have pain that does not improve or notice any new symptoms, check back with your physician and express your concerns. Best of luck. ...Read more

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Dr. Nancy Rodgers-neame
31 doctors shared insights

Status Epilepticus (Definition)

Without regaining consciousness between each event. The most common cause is sudden stopping of anti-epileptic drug, but this can be an event secondary to infection, injury, encephalitis, chemical imbalance in the body, alcoholism. This is indeed a true ...Read more


Dr. William Singer
1,044 doctors shared insights

Seizure Disorder (Definition)

Seizure disorder also known as epilepsy, is a neurological condition in which the brain's abnormal electrical activity causes muscular convulsions and altered mental states. Epilepsy is diagnosed when an individual has ...Read more