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Fits Faints and Funny Turns - Coggle Diagram
Fits Faints and Funny Turns
Exam
MCQ ⭐
Patient in Long Case
DDx
Non Epileptic
Psychogenic
Medical
Syncope
Vetrigo
Migraine
Epileptic
Unprovoked
Epilepsy if recurrent
Provoked
Stroke
tumour
Seizures / Epilepsy
Presentation
Tonic-clonic
Tonic phase followed of by clonic
Epilepsy
Recurrent unprovoked sizures 1% population
2 seizures more and 24hr apart
Symptomatoc or Single unprovoked sizure
New definitions
1 seizure with at least
Resolved after 10 years including 5 yrs without medication (risk of re
Incidence
Prevelant in infancy and old age
U shaped curve
Normal brian activity
Unsynchronised
Seizure - synchronised
Classifications 2025
Focal Onset
Generalised
Uncknown
Causes
Genetic
Infectious
Congenital
Traumatic
BRain tumours
Metabolic hypoglycaemic / renal
Immunological
Braine lesions -
Rule of 70s
70% uncontrolled on meds
70%Atrophy of hippocampus???
Psychogenic and Non-Epileptic Seizures
Names
NES
NEAD
Pseudoseizures
Dissociated seizures
Functional seizures
Hyesterical fits
Hysteroepilepsy
Epi
Strong assication with other functional or somatic disorders: IBS, Tremors, gait disorders
Ass psychological distress 60^
12% of pt attending epilepsy clinic
Presentation
Arc de cercle ??
Phase des contorions
Syncope
Epi
3% visits to AE
10-35% assocaited convulsive reaction
Common
Classification
Neurally mediated reflex syncope
Postural hyoptension
Cardiac outflow obstrucion
Arrhythmia
Seizures VS Syncope
History
Syncope
Lightheaded
Sweating
Palp
Chets pain
Seizure
Deja vu
Jamais vu
Tongue biting
Post event deleriu
Witness
Pallor
Sweating
Caveat
Eye witness may ne unreliable
May have been unwitness
Onset could be
Shared risk factors for late onset syncope and siezures
Diagnostic Diff
Epilepsy percieved as uncommon in eldery
Complexity of syncope not given due consideration
Diagnostic
EEG
MRI
HUTT
Seizure and Syncope
Both Seizure AND syncope
Anoxic seizure
Seizure Following Syncope
Syncope Following Seizure
Vagus affected causing bradycardia
SUDEP
Sudden Unexpected Death in EPilepsy
Cause of death
REspiratory with minority cardiac
RF
Poorly controlled epilepsy
SUPED and Cardiac
Dubraga syndrome
Long QT syndrome
Migraine
epi
20% of women
10% of men
Vertigo
Pres
Can be dramatic
Look for postural change