In my outpatient clinic, I saw a patient named Ms. Li (not her real name) who came to the clinic with frequent loss of consciousness, convulsions, and unexplained abnormal behavior. After a detailed study and examination of her symptoms, I found a very important problem:How to distinguish true epilepsy from pseudoepilepsy.
True epilepsy is a neurological disorder caused by sudden abnormal electrical activity in the brain. Pseudoepilepsy (also known as non-epileptic seizures) is a symptomatic disorder with symptoms similar to those of a seizure but not caused by abnormal electrical activity in the brain.
For cases like Ms. Li's, we first performed a detailed clinical evaluation and medical examination, including electroencephalogram, magnetic resonance imaging (MRI) and other tests, to rule out other underlying diseases. Ms. Li's EEG showed abnormal bursts of electrical activity in the brain, an important indicator of true epilepsy.
A key difference between true epilepsy and pseudoepilepsy is the physiological response to seizures. During the examination, we noticed that Ms. Li's seizures did not produce physiological reactions, such as large and small pupils, tongue biting, or urinary incontinence, which are usually one of the common manifestations of true seizures. This raises our suspicions about pseudoepilepsy.
Upon further questioning of Ms. Li's medical history, we learned that she had previously experienced some psychological trauma and emotional stress that could have contributed to the seizures of pseudoepilepsy. In this case, psychological factors are also very important in the diagnosis and**.
In dealing with this situation, we highlight the synthesis of Ms. Lee**. First, we recommend that she undergo counselling and psychological** to help her cope with psychological stress and deal with potential emotional issues. In addition, we recommended some tips for coping with stress and anxiety, such as deep breathing, relaxation techniques, and regular exercise.
We do not prescribe antiepileptic drugs for seizure control because pseudoepilepsy is not caused by EEG abnormalities. We focus more on managing and reducing the number of attacks through psychological** and coping skills, and follow up regularly to see how much the condition changes and how well symptoms resolve.
For patients with seizure symptoms, it is crucial to distinguish between true and pseudoepilepsy. This helps to identify the right regimen**, provide the right support and guidance, and avoid unnecessary medications**. In Ms. Li's case, through comprehensive ** and psychological support, she gradually learned to cope better with stress and emotions, with a significant reduction in the number of episodes and an improved quality of life.
Da Han talks about health