Autonomic seizures of epilepsy

Introduction Autonomic epileptic seizures are caused by interneuronal dysfunction. Symptoms are mainly autonomic symptoms such as hiccups, nausea, vomiting, diarrhea, abdominal pain, thirst, hunger, pale skin, redness, palpitation, Increased blood pressure, body temperature regulation disorders, etc.

Cause

Due to interneuronal dysfunction.

an examination

Related inspection

EEG examination of cerebrospinal fluid lactic acid

There are some difficulties in the diagnosis of autonomic seizures. Because of its complex symptoms and lack of specificity, it can only be diagnosed in the clinic by exclusion.

Differential diagnosis

1, abdominal epilepsy is a relatively rare autonomic epilepsy, the most common in children, clinical clinical features of severe abdominal pain. Sudden, repetitive, self-solving, etc. are the general characteristics of the onset of epilepsy, the course of disease is long, and the rule of treatment is different from general abdominal pain. Most of the umbilical or upper abdominal pain is the core symptom, with dizziness, headache, nausea and vomiting as common symptoms. Some children may be associated with disorientation, disturbance of consciousness, and the like. The disease is located in the spleen and brain. The pathological mechanism is mainly responsible for qi, phlegm and phlegm. Spleen deficiency, stagnation, qi stagnation, and therefore abdominal pain, if the suffocation is upside down, blinding and clearing, then the consciousness disorder. The suffocation of the hernias is sudden and sudden. If the sputum is calm and suffocating, the seizures will gradually stop, so the clinical manifestations are recurrent and natural palliative. Treatment can not be paranoid end, sputum from the spleen, spleen is the only lake of sputum, cure sputum first cure gas, gas sputum self-elimination, so the disease to regulate qi and qi in the treatment of Dafa. On the basis of the treatment of syndrome differentiation, the clinical system is equipped with orange-red, flaming shell, and magnolia to adjust the air, and the blood stasis, phlegm, licorice and medium-temper.

2, periodic vomiting episodes: refers to vomiting as the main form of autonomic seizures, this episode can be the only symptom of childhood epilepsy. Sudden and frequent violent vomiting episodes, without nausea and no obvious mental factors, generally relieved antiemetic drugs, most patients with abdominal pain, sweating, salivation, complexion changes, lack of energy, lethargy. The duration ranges from half an hour to several hours, and a few can last for several days. The onset has a certain regularity, often with a family history, and detailed examination of factors caused by various gastrointestinal diseases and increased intracranial pressure. Electroencephalographic tracing can be seen with a paroxysmal abnormal discharge, which is effective with antiepileptic drugs.

3. Headache-type epilepsy refers to a neurological episode of headache. The clinical manifestations are recurrent headaches, and they are mostly located in the anterior head (forehead, eyelids, and ankles). The top and back of the head are rare, and the entire head is involved. The bilateral sides are more than one side. Headaches are characterized by jumping or pain, tingling, drilling, and tearing. The duration of seizures varies from a few seconds to as long as several days, usually from 10 minutes to several hours, most of which do not exceed 24 hours. The interval between episodes varies, several times a day, or once a few days, most of which occur once in a few days or weeks. The onset time is accompanied by symptoms of autonomic disorders such as nausea, vomiting, palpitation, dizziness, facial flushing or paleness, sweating, and abdominal pain. These symptoms disappear as the headache begins to stop. EEG has epileptic changes and is effective against anti-epileptic drugs. This type is often easily overlooked clinically and diagnosed as other types of headaches. The latter often has no aura symptoms before the onset of headache, while the former often has aura symptoms. Such as hallucinations, black Mongolian, photophobia, dizziness, nausea, tinnitus, fatigue, palpitation, etc. In severe cases, there are even short-term disturbances of consciousness, such as lethargy, fatigue, and dizziness after the attack.

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