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Positive features of dissociative or non-epileptic seizures include prolonged motionless unresponsiveness, long duration episodes (>2minutes) and symptoms of dissociation prior to the attack. These signs can be usefully discussed with patients when the diagnosis is being made. [22] [23] [24] [25]
Psychogenic non-epileptic seizures (PNES), also referred to as pseudoseizures, non-epileptic attack disorder (NEAD), functional seizures, or dissociative seizures, [2] [3] are episodes resembling an epileptic seizure but without the characteristic electrical discharges associated with epilepsy.
Non-epileptic seizures (NES), also known as pseudoseizures, non-epileptic attack disorder (NEAD), functional seizures, or dissociative seizures, are paroxysmal events that appear similar to an epileptic seizure, but do not involve abnormal, rhythmic discharges of neurons in the brain. [1]
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Epilepsy is usually treated with daily medication once a second seizure has occurred, [26] [106] while medication may be started after the first seizure in those at high risk for subsequent seizures. [106] Supporting people's self-management of their condition may be useful. [145]
Strokes, brain bleeds, and traumatic brain injury can all also lead to epilepsy if seizures re-occur. If the first seizure occurs more than 7 days following a stroke, there is a higher chance of the person developing epilepsy. [27] Post-stroke epilepsy accounts for 30%-50% of new epilepsy cases. [27]
Seizures in TEA patients commonly occur upon waking suggesting a link between TEA and sleep. It is possible that abnormal electrical activity during sleep disrupts the process of memory consolidation which normally occurs when we sleep. On-going subclinical seizure activity has implications for theories of memory consolidation, discussed below.
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related to: first aid for dissociative seizures