What are you checking for

summary

A good friend with epilepsy, and then daily life by a little bit of stimulation will be very easy to get sick. The doctor suggested that she should go to the hospital regularly for reexamination in order to determine the recovery of her condition. Next, I'll tell you something about epilepsy?

What are you checking for

First: the patients who first visit the hospital need to do EEG or brain CT, MRI examination; clinical suspected epilepsy cases should be EEG examination. It should be noted that the abnormal rate of routine EEG is very low, about 10-30%. The standardized EEG, due to its appropriate extension of the tracing time, can ensure all kinds of evoked tests, especially sleep induced, when necessary, sphenoid electrode recording is added.

Second, there are a variety of clinical paroxysmal events, including both epileptic seizures and non epileptic seizures. Non epileptic seizures can occur in all ages, including a variety of reasons, some of which are disease states, such as syncope, transient ischemic attack (TIA), paroxysmal motor-induced dyskinesia, sleep disorders, Tourette's syndrome, migraine, and other physiological phenomena, such as breath holding seizures, sleep myoclonus, night terrors, etc.

Third: in the process of differential diagnosis, we should inquire about the history of the attack in detail and try to find the cause of the attack. In addition, EEG monitoring, especially video EEG monitoring, is of great value in differentiating epileptic seizures from non epileptic seizures. Some patients with intractable epilepsy need to do magnetoencephalography and PET-CT, some children with special types of epilepsy need to do cerebrospinal fluid examination or gene sequencing; patients with stable condition regularly review blood routine, biochemistry, liver function, blood drug concentration and EEG.

matters needing attention

If the patient has some abnormal behavior similar to epilepsy, they should go to the hospital for examination as soon as possible. They can do an EEG or MRI. Because the EEG fluctuation of normal people is relatively gentle, the EEG of patients with epilepsy will change greatly.