Epilepsy treatment protocol.
Medical history: Take a detailed medical history, including.
1. age of onset
2. birth history: whether the baby was born prematurely, with or without birth injuries, or asphyxia
3, growth and development history: motor, language, intellectual development
4, past medical history: the presence of febrile convulsions, head trauma, intracranial infections, tumors, etc.
5.Whether there is any special family history of genetic diseases
Symptoms: Get details of the seizure from the patient or the patient’s family and the person who witnessed the seizure, including
1. physical and mental symptoms, level of consciousness, characteristics and duration of symptoms, presence of trauma and urinary and fecal incontinence
2. Seizure pattern: whether awake or asleep, frequency
3. Triggering factors, such as light stimulation, menstrual cycle, alcohol consumption, lack of sleep, excessive fatigue, emotional stress, etc.
4. Aura: the first sensation or performance that the patient is aware of moments before the attack. Common aura include nausea, panic, rising stomach gas, fear, hallucinations, hallucinations, numbness of the limbs, etc.
5. Performance before, during and after seizure
Commonality of symptoms: episodic, transient, repetitive, and stereotyped
Individuality of symptoms: different types of epilepsy have their own characteristics
Generalized seizures.
1. Tonic clonic seizure, loss of consciousness, double eye gaze, continuous contraction of limbs, followed by clonus, accompanied by respiratory arrest, cyanosis of lips, mostly accompanied by foaming at the mouth, sometimes with urinary incontinence. It lasts for 1-5 minutes.
2, typical disorientation seizure, sudden movement suspension, staring, calling out, lasting 5-20 seconds.
3, tonic seizures, episodes of generalized or bilateral limb sustained type contractions, anterior or dorsal drive of the body, lasting less than 1 minute.
4.Clonic seizure, rhythmic contraction of the limbs.
5, Myoclonic seizures, rapid, brief, electric shock-like muscle contractions that can be generalized or in one limb.
6, spasms: episodes of head nodding, torso leaning forward or backward, often in a continuous series of seizures.
7. Atonic seizures, sudden head and limb drop and/or fall, may not be accompanied by impaired consciousness.
Simple partial.
1. Motor seizures: focal jerking including the corners of the mouth or limbs
2. Sensory seizures: episodes of focal sensory abnormalities (numbness, pins and needles), or visual, auditory, olfactory, or taste abnormalities, vertigo
3. Autonomic seizures: episodic salivation, epigastric discomfort, vomiting, urinary incontinence, facial pallor or flushing, hair standing or sweating
4.Psychotic seizures: emotional seizures (extremely pleasant or unpleasant feeling), memory disorder seizures (memory distortion), dream-like state, seizure delusion, etc.
5, complex partial seizures: there are the aforementioned simple partial seizures with varying degrees of impaired consciousness, that is, smacking, swallowing, groping, or seemingly purposeful movements in a hazy state of consciousness; may also manifest as impaired consciousness.