experience –
Interesting SeizureRating: (votes: 0) Has anyone seen anything like this? I guess I've only ever seen absence and grand mal. Oh, but a classmate in grade school used to throw her arm into the air and shriek before her seizures. I don't recall her having incontinence, tonic-clonic movements, airway issues, falling, or post-ictal state. Sounds like it could be a myoclonic seizure. But if the patient thinks it was an anxiety attack, it might not have been a seizure at all. Without an EEG, you can't really conclusively say. Comment:
I had a patient who sounds pretty similar to this. He also called them anxiety seizures...he was also very aware of the fact that patients get Ativan when they have a seizure. They brought in a specialist, who diagnosed him with anxiety and "pseudo seizures," and his PRN order for Ativan was d/c'd.He was originally admitted due to DKA, but ended up staying in the hospital for a really long time waiting for placement in assisted living.
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psueo-seizuresAgree with post above -- EEG is the definitive diagnostic tool.
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Highly unlikely to have a seizure without any interruption in normal cognitive process... e.g. continue to talk to you coherently. This even happens with petit mal, temporal (absence) seizures.
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I agree; the pt said it was an anxiety attack...so it was an "interesting" anxiety attack, not an "interesting" seizure.
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I've actually seen this several times with increases in Haldol. The exact reason was unknown, but would always go away with a reduction in Haldol. I would believe your patient! These meds can do so many strange things.
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Quote from LadyFree28I agree; the pt said it was an anxiety attack...so it was an "interesting" anxiety attack, not an "interesting" seizure.
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Quote from scanda123I've actually seen this several times with increases in Haldol. The exact reason was unknown, but would always go away with a reduction in Haldol. I would believe your patient! These meds can do so many strange things.
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Quote from HouTxHighly unlikely to have a seizure without any interruption in normal cognitive process... e.g. continue to talk to you coherently. This even happens with petit mal, temporal (absence) seizures.
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Quote from Kooky Korky I'm not quite ready to decide it was drug-seeking, as someone above suggested, or truly just anxiety. EEG recommendation sounds correct to actually diagnose. I also think that precipitous DC of cardiac meds after ablation could have played some role. Will speak to a few pharmacists.
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