9: Medically unexplained / functional symptoms (no lecture) Flashcards Preview

Neurology Week 3 2018/19 > 9: Medically unexplained / functional symptoms (no lecture) > Flashcards

Flashcards in 9: Medically unexplained / functional symptoms (no lecture) Deck (9)
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1

What is another name for a functional attack?

Non-epileptic attack

2

Functional attack are a response to ___ or ___ in a patient's life.

trauma or stress

3

What are some stresses or trauma which may form the basis for non-epileptic attacks?

Trauma

Sexual abuse

etc.

4

Normal, familiar sensations or memories preceding a seizure are a sign of epilepsy - true or false?

False

Focal sensory epilepsy = non-familiar, abnormal sensations

5

How are functional attacks investigated?

Extensive history and linguistics analysis

Long-term EEG

6

Do anticonvulsants help with functional attacks?

No

7

How are functional attacks managed?

Eliminate epilesy

Withdraw anti-convulsants

Explain, reassure, counsel

Treat psychiatric disorders e.g anxiety or depression

8

Why should you be cautious with counselling and CBT in patients with historic stress or trauma related experiences?

Reexposure to event too soon does more harm than good

9

non epileptic

prolonged, uncoordinated, varied movements

if you can't think of a part of the brain which would cause the behaviour, it's not epilepsy