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What are the symptoms of epilepsy?

Epilepsy certificate for seizure abnormalities of the disease, its onset is characterized by episodic trance, sudden fainting, spitting, two eyes upward, limbs convulsions, seizures such as pigs, sheep squealing, waking up, in addition to feeling weak, such as a normal person, often untimely hair, this condition is called epilepsy certificate. Mainly, the first, seven emotional disorders, mainly by the panic, the qi rebellion, and then damage to the internal organs, liver and kidney damage, yin does not converge yang to produce heat and wind, the spleen and stomach is damaged, the essence of the cloth, phlegm and turbid polymerization, after a long period of time out of order, a trigger, phlegm and turbid with the gas inversion or with the fire loss, or with the wind movement, closed the mind and God clear orifices and make epilepsy. No. 2, congenital factors, epilepsy begins at a young age, and is related to congenital factors (the disease from the fetus and get it). If the mother suffers from sudden fear, it will lead to the reversal of qi, and will lead to the injury of essence and kidney loss. The depletion of essence and qi of the mother will make the fetus develop abnormally, and epilepsy will easily occur after birth. Third, traumatic brain injury, as a result of fall and impact, or difficult labor, resulting in cranial and cerebral damage, confusion, fainting and unawareness, stagnation of qi and blood, disharmony of the veins and channels, and convulsions of the limbs, leading to epilepsy. Epileptic seizures for a long time, forgetfulness and palpitations, dizziness, lumbar and knee weakness, and fatigue are all signs of deficiency of the heart and kidneys.

  This question is answered by Director Li Tianfu of Sanbo Brain Hospital of Capital Medical University, looking forward to your attention~

  The symptoms of epilepsy are many and varied. Most of us think of the first symptom of epilepsy when we talk about epilepsy, but in fact, epilepsy has many other symptoms besides the "twitching" symptom.

  Generalized tonic clonic seizure: this type of seizure is also known as grand mal seizure, usually the patient manifested as a sudden yell, stupor, eyes staring, teeth closed, foaming at the mouth, white eyes rolled out, limbs clenched with convulsions, lips purple. At this time, do not force the patient's limbs straight and do not feed the patient.

  Loss of concentration seizure: this is a minor seizure, many patients' family members are difficult to find at first, usually the patient suddenly stops the activity, like being pressed the pause button, usually after a few seconds or tens of seconds to return to normal, the patient has no memory of the seizure process. In addition, sometimes the seizure will be combined with blinking, chewing and other movements.

  Myoclonic seizure: This type is similar to the symptoms we experience when our body shakes when we are suddenly startled by another person.

  Dystonic seizure: the patient suddenly loses strength in the body and falls to the ground like a puppet with broken strings.

  Infantile nodding spasm: This type usually occurs in infants younger than 2 years of age, when just waking up or about to fall asleep, there is a similar nodding movement, like dozing, but the amplitude and intensity will be greater, usually dozens of times in a row in a few minutes, and if the amplitude of the movement is very large, it can also be combined with the trunk bending and the two hands forward extension.

  Simple partial seizure: this type of seizure is generally conscious, can communicate with the outside world normally, common symptoms for a hand, a foot or half of the face twitching, or the body does not have a twitching performance, but suddenly feel around suddenly strange, in addition to the emergence of hallucinations, hallucinations, the symptoms of hearing.

  Complex partial seizures: Generally, these patients will have a premonition that they are about to have a seizure, and then they will experience a variety of involuntary movements combined with loss of consciousness, with no memory of the seizure. Involuntary blinking, chewing, aimless groping of the hands or walking around, etc. are common, and the seizure often lasts more than one minute.

  Capital Medical University Sanbo Brain Hospital is a Wukong Q&A contracted organization, this article is an original article, first published in today's headlines Wukong Q&A! (Disclaimer: The content of this article is for reference only, and does not serve as a basis for diagnosis, medication and use, and cannot replace the diagnosis, treatment and recommendations of doctors and other medical personnel.)

Epilepsy, known as "epilepsy", is a chronic disease caused by sudden abnormal discharges of neurons in the brain, resulting in brain dysfunction. When it comes to epilepsy, many people's first reaction is to have convulsions of the limbs, foaming at the mouth, and screaming, but in fact, epilepsy has many different forms of seizures, and many atypical seizures can easily be overlooked.


The most familiar would be the generalized tonic-clonic seizure: usually the patient suffers from impaired consciousness, generalized tonicity and convulsions, often accompanied by tongue biting, urinary incontinence, etc., and prone to choking and other injuries.


In addition, there are also some seizures that are easy to be ignored, such as apoplectic seizures, mainly manifested as the suspension of movement, staring, and should not be called, basically not accompanied by motor symptoms; myoclonic seizures, manifested as a sudden electric shock-like muscle tremor, rapid and short contractions, which can be several times in a row; dystonic seizures, manifested as a sudden loss of muscle tone, sudden collapse and other manifestations. In recent years, new manifestations such as eyelid myoclonus and dementia seizures have also been added.


For more real-life medicine, check out the "Pediatrics/Gynecology in Medicine Channel."

Medical writers Lee Tudor

A seizure is a transient clinical manifestation caused by abnormal excessive, synchronized discharge activity of neurons in the brain. In layman's terms, it means that the neurons in our brain are overexcited, discharging more electricity than usual, causing our brain to be out of control, and symptoms such as convulsions and foaming at the mouth appear. So besides our most common convulsions and foaming at the mouth, what are the other symptoms that fall into the category of seizures?

In fact, there are many kinds of clinical manifestations of epileptic seizures, and convulsions and foaming at the mouth are merely the most common ones we see on television, so these two symptoms have long been deeply rooted in people's minds, and when epilepsy is mentioned, they will just come to mind.

Epileptic seizures can be divided into two main categories, the first category belongs to generalized seizures, such as the convulsions just mentioned, the medical term is called "tonic-clonic", when the patient has a seizure, often the body is in a state of tonicity, accompanied by convulsions, and there is a loss of consciousness, which we also call "grand mal". "There is also the case of apoplectic seizure, which is characterized by the sudden appearance of the patient's eyes straight, dull gaze, sudden stopping or slowing down of movements, impaired consciousness, and sometimes accompanied by some minor motor symptoms (clonus, forcing), and also the case of drooling.

The second category is partial seizures, mainly motor, sensory, autonomic and psychogenic seizures, which tend to be mild and sometimes not easily recognized. You think she's thinking about something, but it's actually a seizure. Partial seizures can also be accompanied by impaired consciousness, and can be severe enough to turn into generalized seizures.

From a medical point of view, the classification of epilepsy is very fine, and as a science, we tell you the symptoms of epileptic seizures in a macroscopic way through the coarse classification, just to let you know which symptoms belong to epileptic seizures, and if a family member, a friend, or someone close to you has these symptoms, it is beneficial for us to make better judgments in the absence of a healthcare provider.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Most people know that epileptic seizures are characterized by convulsions of the limbs and foaming at the mouth, but few people know that "daze" can also be one of the symptoms of epilepsy. Some children may occasionally be "lost in thought" in class, and when they come back to their senses they have no idea what they were doing, or they may suddenly stop talking, their eyes glaze over, and they don't realize that something has fallen out of their hands, which is called an "apoplectic seizure".

These seizures may seem mild, but long-term, frequent seizures can still cause chronic damage to the brain. Dr. Zhang Xi said that although the disorientation lasts only 1 to 2 minutes at a time, children who have frequent seizures can have up to 7 or 8 a day. If the seizures occur every day, brain nerve cells, especially hippocampal nerve cells will be irreversible damage, memory and cognitive function will gradually decline, children patients will have learning difficulties, performance decline, the physical and mental development of children will have a serious impact. If your child has such a condition, you must bring them to a specialized epilepsy clinic.

Epilepsy, commonly known as "crohns" or "epilepsy", is a chronic disease characterized by sudden abnormal discharges of neurons in the brain, leading to transient brain dysfunction. With the development of modern society, the incidence of this disease is getting higher and higher, bringing a lot of pain to patients.

People with epilepsy have grand mal and petit mal seizures. Typically grand mal seizures tend to be characterized by the patient's loss of consciousness and generalized convulsions.

Most epilepsies start without warning; the vast majority of epileptic episodes are self-limiting, with seizures lasting from a few seconds to 2-3 minutes, and then the seizures stop on their own; the vast majority of epileptic episodes are self-limiting, with seizures lasting from a few seconds to 2-3 minutes, and then the seizures stop on their own.

Epilepsy diagnosis: 1. Blood biochemical indicators. This indicator can clearly view the physical condition of the epileptic patient before and after the seizure. 2. EEG results. As a gold indicator for diagnosing epilepsy, it is a necessary test for checking whether you have epilepsy or not.

Nowadays, the main treatment for epilepsy is still medication, as long as the scientific and formal treatment, most of the epilepsy patients can achieve good results. If you have been taking certain drugs for a long time, it is recommended that you change your medication under the guidance of your doctor. Usually, patients should avoid mental stimulation, prohibit smoking and alcohol.

Clinically, the more common symptoms of epilepsy include convulsions, foaming at the mouth, generalized spasms, rolling of the eyes, unconsciousness and so on. However, the symptoms of epilepsy disease are not only these, because the clinical type of epilepsy disease is more diverse, the disease group is also more extensive, so there are also many symptoms that we can not say clearly but often visible. Such as dazed, frozen, suspended movements, lip licking, lip smacking, chewing, swallowing, groping, face rubbing, hand clapping, aimless walking, talking to oneself and many more. So to check if you have epilepsy or not you still have to go through a professional examination to determine.


Li Shichuo, honorary president of the Chinese Antiepileptic Association, said that at present the world recognized that the best and safest way to treat epilepsy is drug treatment, as long as early detection, early diagnosis and standardized treatment, the cure rate of children's epilepsy can reach 80%. And in life, many people have many misunderstandings about epilepsy.

Symptom Myth: Generalized convulsions and foaming at the mouth are only called epilepsy

Is epilepsy the result of sudden fainting, convulsions, stiffness of the limbs and even foaming at the mouth, as shown on TV? No. In fact, seizures are divided into two categories: generalized seizures and partial seizures. Professor Jiang Yuwu, chief physician of the Department of Pediatric Neurology at Peking University First Hospital, pointed out, "The states mentioned earlier belong to generalized tonic clonic seizures, or grand mal seizures, which are more obvious seizures."

As for children with epilepsy, about 2/3 of them present with partial seizures, in which the child will have transient twitching deviation of one side of the limb, including the corners of the mouth, eyelids, or fingers, and some of them will also have transient loss of consciousness. These details are easily overlooked, which is the main reason why many children do not go to the doctor or delay in seeking medical treatment or miss the diagnosis.

Treatment Myth: Take medication only when you have an attack, stop medication when you don't have an attack

Some parents are worried that the drugs used to treat epilepsy will affect their children's physical and intellectual development, and they let their children take the drugs only when they have a seizure, and stop taking the drugs without authorization when they don't have a seizure, which leads to the deterioration of their children's condition. Prof. Jiang Yuwu emphasized, "Eating for seizures and not eating for non-seizures can easily lead to drug failure and epilepsy not being well controlled, or even getting more and more serious."

As children in childhood, the child's physical, mental and intellectual are in the development stage, when choosing drugs, experts recommend choosing drugs with strong seizure control, does not affect cognitive function, does not affect the mental behavioral problems, high safety, good tolerance and other characteristics. President Li Shichuo reminded, don't trust the advertisements when buying drugs, all the publicity involving nano and some other high-tech words are traps, don't trust them.

Screening Myth: EEG is Harmful, Don't Do It If You Can

The reporter found at the on-site clinic that doctors generally reflected that some parents who suspected their children of having epilepsy, upon hearing the doctor's recommendation for their children to undergo an EEG, began to worry about the side effects of the EEG and refrained from undergoing the test. This will delay the diagnosis of epilepsy in children thus delaying the treatment of the disease.

In this regard, Prof. Jiang Yuwu pointed out, "EEG examination is extremely important for doctors' diagnosis. It uses electrodes connected to the scalp to transmit the brain's bioelectrical current to the EEG recorder, which itself has no adverse effects on the human body, so parents need not worry."

Handling Myth: Taking matters into your own hands when your child has a seizure

Many parents encounter their children's seizures and start to do emergency treatment based on their own understanding. Such as pinching, stuffing things into the mouth, etc. In fact, these methods are ineffective.

"No treatment is the right thing to do!" Prof. Jiang Yuwu pointed out that 90% of epilepsy patients can be relieved after 5 minutes of seizure, parents should contact the doctor immediately when their child has a seizure and observe the child's performance in the first moment of the seizure. You can even use your cell phone to take pictures of the seizure process and give timely feedback to your doctor about this information, which can help him or her make a treatment diagnosis.

First aid for children with epileptic seizures is based on the principles of "three to's" and "three don't's": parents should take the child to a flat, soft location, loosen the collar, and remain calm; do not bind or suppress the child's convulsive parts, do not force anything into the child's mouth, and do not splash cold water, slap, or shake the child to make him or her conscious. , patting, shaking methods to make the child awake.

(Source: healthtimes.com 2020-04-01 "Out of the four misunderstandings of epilepsy")

Epilepsy is an abnormally synchronized discharge of the cerebral cortex, which can be classified as simple partial seizures or complex partial seizures, depending on whether the seizure constitutes a concomitant impairment of consciousness. Simple partial seizures usually last for a short period of time, no more than one minute, and can manifest as localized convulsions of the mouth or distal limbs. These twitches can spread gradually along the cortical motor phase of the brain, and can also manifest as rotational, postural abnormalities, or verbal seizures. In addition to this, there can be several other manifestations: i. It can manifest as an attack of abnormal sensation in the limb, such as a numb, pins and needles sensation, or as a visual attack, such as a transient flash of light or blackout. In addition, two, there can be auditory seizures, manifested as hallucinations, phantom noises or hearing some music. There can also be olfactory seizures, such as suddenly smelling a very unpleasant odor or metallic taste. Third, there can be gustatory attacks, suddenly feel sweet, sour, or other sense of taste in the mouth. Fourth, there may be episodes of vertigo, such as a sense of spinning, floating, or sinking. Fifth, autonomic nerve involvement can be characterized by facial or general pallor, sweating, positive erector pili reflex, vomiting, diarrhea, irritable thirst, and a feeling of urination. Sixth, psychogenic seizures may include repetitive speech, memory distortion, sense of detachment from contact, illusions, hallucinations, and so on. In conclusion, if the above mentioned seizures are combined with conscious disorder, it is a complex partial seizure.

① Aura phase: about half of the patients have an aura, which lasts for a few seconds and can make the patient alert and fall down. At this stage, the patient's consciousness is still clear, and he or she can remember the aura afterwards. The performance of the aura has various shapes, such as the patient feels numbness of the limbs, pain, finger twitching, a sudden feeling of terror, depression, hallucinations, hallucinations, palpitations, sweating, salivation. ② Seizure period: more than a sharp cry, while the loss of consciousness and fainting and falling to the ground. ③ Drowsiness: After the clonus stops in the seizure phase, the person enters the drowsy phase. Afterwards, the patient will gradually fall into sleep, which lasts for about 2 hours before the consciousness is fully recovered. In severe cases, there are mental disorders such as fuzzy consciousness, restlessness and hallucinations after the seizure. In addition, there are headache, fatigue, generalized muscle pain and other phenomena, which may last for several hours or days.

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