With various diseases, conditions can develop, similar to an epileptic seizure. The distinction of epileptiform states with epilepsy is necessary for the effective provision of medical care and further treatment.
Epilepsy - a disease of the nervous system, the main feature of which are attacks. Attacks can be convulsive with loss of consciousness, abscess (absenches) or partial.
Attacks without epilepsy
In addition, the epilepsy itself distinguishes epilepticus syndrome, when epileptic seizures can be the consequences of another damage to the nervous system, that is, to develop a second time. Also, there are conditions similar to epileptic seizures, but not directly related to the pathology of the nervous system.
Secondary epileptic seizures (epileptic syndrome) can develop in tumors, traumatic lesions, vascular malformations. In such cases, attacks are characterized by one-sidedness of the court or their location, long duration, presence after an attack of transient neurological symptoms: paresis, paralysis, and aphasia.
Sudden seizures can occur in various infectious diseases, including those with a nervous system affliction - meningitis, encephalitis. This type of attacks is differentiated from epilepsy due to concomitant symptoms.
Children with infectious diseases seizures occur much more often than in adults, with the same disease agent. This is due to the increased tendency of the child's body to seizure.
Epileptic seizures develop in a number of diseases of the internal organs, metabolic disorders, in a hysterical psychosis, and others. At present, hysterical convulsive attacks are rare. This type of attacks distinguishes one or another degree of gravity and the absence of features of seizure epileptic seizures - absent aura, respiration of speech, loss of pupil reaction, involuntary urination, trapped places. Difficulties may arise in differentiating hysteria and diencephalic epilepsy, in which the judgment may not be at all.
I will be at a hypertensive crisis, some types of migraine, dizziness with Menier's disease can also resemble epileptic seizures.
Fatigue and panic
Particularly noteworthy is the distinction between seizures epileptic seizures and fainting.
Dizziness may be neurogenic (for example, in the appearance of blood), occur with heart defects (for example, atrioventricular blockade) and violations of cerebral circulation. Causes of fainting may be hypoglycemic or hyperglycemic, disturbance of nitrogen metabolism in severe kidney diseases, acute liver failure.
Panic attacks, accompanied by a feeling of lack of air, shortness of breath, palpitations, and fear, should be differentiated with vegetative epileptic seizures. Vegetative attack usually lasts longer than epipridocaine, seizures affect only distal parts of the limbs, consciousness is preserved, often a violation.
A combination with night fears, nightmares, night enuresis can also be taken as epilepsy attacks. To clarify the diagnosis, conduct EEG-studies during sleep and wakefulness, carefully collect the history.