Please enable JavaScript.
Coggle requires JavaScript to display documents.
Non-epileptic attack disorder (NEAD) (Clinical presentation (Triggered…
Non-epileptic attack disorder
(NEAD)
Definition
Epidemiology
F>M
Childhood abuse
Clinical
presentation
Triggered by stress
Not drug responsive
Hospital admissoins
Other undiagnosed
physical ailments
Diagnosis
History
Examination
Investigations
Video telemetry
Management
Relaxation techniques
CBT
Explaination
(unconcious reaction to stress)
Consider withdrawing AEDs
Characteristic
NEAD
Epilepsy
Stress trigger
Common
Rare
Onset
Gradual
Sudden
Duration
Hours
Mins
Breathing
Normal
Apnoeic
Colour
Normal
Cyanotic
Conciousness
Usually retained
Usually lost
Odd movements
Pelvic thrusting,
back arching,
erratic
Unusual
Resists forced
eye opening
Yes
No
Tongue biting
Rare (sides)
Common (end)
Self injury
Rare
Common
Incontinence
Post-ictal
confusion
Post-ictal
EEG
Rare
Rare
Normal
Common
Common
Slowing