You are seeing Oleg Markov, a 15 year old male, in your ambulatory clinic today. He states that he has recently experienced moments during the day where he loses awareness for minutes at a time but soon fully recovers. Take a focused history of this complaint.
History
- Onset and duration of awareness deficit
- Frequency
- Factors which precipitate these episodes
- Injury sustained as a result of the seizure
- Post-ictal symptoms: confusion
- Associated sensory deficits
- Associated motor deficits
- Associated cognitive deficits
- Muscle spasms
- Anatomical progression of motor involvement (e.g. Jacksonian March)
- Symptoms suggesting aura
- Associated incontinence
- Tongue biting and salivation
- Automatisms associated with these episodes
- Personal history of head trauma
- Congenital neurological disorder
- Perinatal infection
- Medications
- Drug history
- Personal history of seizure disorder
- Family history of seizure disorders
- Effect on daily activities
Case 3 – Seizure