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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Continuing Medical Education
NATIONAL JOURNAL OF HOMOEOPATHY 1996 Mar / Apr Vol V No 2.
Dr Asrani C H.

QUES 1 : What is Epilepsy? What is a Convulsion?

ANS 1: A Convulsion is a transient disturbance of cerebral function due to an abnormal paroxysmal neuronal discharge in the brain.

Epilepsy is recurrent convulsions, characterized by EEG charges c convulsions and focal neurological symptoms or confusion or amnesia persisting for some time postically(post convulsion).

QUES 2: What is Narcolepsy?

ANS 2: Narcolepsy is one of the disorders of excessive sleepiness (Hypersomnia) other than similarity in name there is no association with Epilepsy.

QUES 3: What is Deja Vu?

ANS 3: Deja Vu is the feeling of have been through in past or this has happened to one before.

QUES 4: What is Todds Palsy?

ANS 4: Todds Palsy is something akin to TIA where patient has focal paralysis which recover spontaneously in a matter of hours.

QUES 5: What is the Management in an Acute attack of Epilepsy?

ANS 5: During an acute attack the following three points should be considered-

  1. Physical Examination.
  2. Laboratory findings.
  3. Therapy.
1. Physical Examination: Vital signs may provide a clue to malignant hypertension or infection. gum hyperplasia suggests chronic phenytoin therapy. The general exam also may provide evidence of drug or alcohol abuse, trauma, hepatic or renal failure, or acute CNS infection. Asymmetries in the neurologic exam can suggest a brain tumor, stroke, or other focal lesion. During a generalized seizure, the pupils may be non reactive, the corneal reflexes absent, and hyperreflexia and Babinski signs may be transiently present.

2. Laboratory findings: Serum glucose, electrolytes, and calcium should be obtained immediately. s,BUN,CBC,toxic screen, and alcohol level can add valuable information in specific patients. An EEG with activation procedures(hyperventilation, photic stimulation,sleep)often helps in diagnosis and classification of seizures.

3. Therapy: Acutely, patient should be placed in semiprone position, head down, to avoid aspiration. Oxygen should be given via face mask. Patient should not be forcify restrained, and no attempt should be made to insert a tongue blade or other object between teeth. Reversible metabolic disorders (hypoglycemia, hyponatremia, hypertension, drug or alcohol withdrawal) should bee promptly corrected.

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