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Symptoms may include shaking, loss of consciousness, and loss of bladder control. [2] They may or may not be caused by either physiological or psychological conditions. [2] Physiological causes include fainting, sleep disorders, and heart arrhythmias. [2] [3] Psychological causes are known as psychogenic non-epileptic seizures. [3]
The number of people with PNES ranges from 2 to 33 per 100,000. [6] PNES are most common in young adults, particularly women. [6] The prevalence for PNES is estimated to make up 5–20% of outpatient epilepsy clinics; 75–80% of these diagnoses are given to female patients and 83% are to individuals between 15 and 35 years old.
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]
Other symptoms during this period include drowsiness, headache, difficulty speaking, psychosis, and weakness. [15] [16] [17] Observable signs and symptoms of seizures vary depending on the type. [3] [13] Seizures can be classified into generalized seizures and focal seizures, depending on what part of the brain is involved. [3] [13]
Through neuroimaging, clinical assessments, and spinal-fluid examination the patients are screened for intrinsic neurological anomalies. The patients are analyzed for non-epileptic seizures. Early electroencephalography is recommended if there is a possibility of non-convulsive or subtle status epilepticus.
Because epileptic seizures typically include convulsions, the term convulsion is often used as a synonym for seizure. [1] However, not all epileptic seizures result in convulsions, and not all convulsions are caused by epileptic seizures. [1] [2] Non-epileptic convulsions have no relation with epilepsy, and are caused by non-epileptic seizures. [1]
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A seizure is a paroxysmal episode of symptoms or altered behavior arising from abnormal excessive or synchronous brain neuronal activity. [5] A focal onset seizure arises from a biological neural network within one cerebral hemisphere, while a generalized onset seizure arises from within the cerebral hemispheres rapidly involving both hemispheres.
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