An Approach to Seizures

A discussion of seizure subtypes, etiologies, and evaluation.

#MedEd #ClinicalReasoning

[sunnyslowenko]

Thank you for allowing this great lecture and all your other lectures readily available and accessible!!

[izzatifdzl]

I have been waiting for a topic on seizures from strong medicine! Thank u!

[sunving]

Thank you Dr Eric Strong, great lecture .

[iihmjhw]

thank you very much
thanking you professor is the least we can do

[wzoobqj]

Thanks for the great video (as always!). I have a loosely-connected question about lidocaine. I encountered two cases of seizures in a patient with VT both were attributed to lidocaine loading dose (~ 100 mg ) with no kidney or liver disease. I'm wondering about the mechanism behind which lidocaine can cause seizures (isn't lidocaine a Na channel blocker and thus "should" be a "seizure medication" like phenytoin ? Fortunately, the two cases were both ~ 2 minutes and responded well to IV diazepam [and VT was converted but with no maintenance dose of lidocaine but rather looking for other AADs] ).

[tomazlm_]

From my research on UpToDate, Biller's Practical Neurology and some individual articles, hypophosphatemia is not considered a metabolic trigger for seizures, although it may play a role as a biomarker (just like creatine kinase or lactate), since transient hypophosphatemia is common after GTC seizures.

[iNayefm]

Thank you Dr Strong for your enormous effort, it is much appreciated. If i may ask, Have you done an approach to joint pain ?

[inbwitx]

great video !
could you please upload the slides to the google drive folder ?
thanks !

[ghadeernajim]

Doctor firstly thank you for your great videos and explanation
Secondly please which guidelines are best for internal medicine

[TheCriticalCarePractitioner]

Hi Eric- looks like you have changed style slightly over the years. Are you using a studio these days and more of a team (my dream), or is it still all you?

[fredbloggs]

Very interested to know what proportion of US patients end up categorised as epilepsy but with no known cause.

[stringomyelin]

Sir, if you may, please update the playlists on this channel. Very helpful to save them instead of making new for different topics. This would very well go in your existing playlist by the title "An Approach to Symptoms." Thankyou.

[AmarHimd]

Thanks again for the great video Dr. Strong. I have a question in regard to the EEG, is the EEG beneficial tool in the work up? I can't thank you more for sharing your awesome videos!!!

[VyewVyew]

Thanks for another great video Dr Strong. Here in the UK it’s common to do ABGs immediately after a seizure to use the lactate as a way of “proving” a real seizure occurred as for whatever reason we have a high rate of inpatient non-epileptic attack disorder, vasovagals with myoclonus, and intermittent unresponsive episodes with some twitching in delirious demented patients which get labeled as possible seizures. Is this a common practice in the US, or do you guys use other means of “proving” a real seizure immediately after the rapid response call?

[Tonguebiter]

Post ictal phase is when I vomit for at least 30 minutes and I’m not a very friendly person

[Siddhansh]

Thank you Doctor for your videos, do you have any advice for those sitting for Canadian licensing exams?

[drkanwalabbasbhatti]

very nice sir
sir some videos regarding endocrinology plz upload

[MonaSax-ircw]

Back when I was 15 I used to have seizures and they were scary as hell