Could a temper tantrum, later in life, be expressed in a non-verbal form indistinguishable from a non-epileptic seizure?

mollwollfumble said:

Could a temper tantrum, later in life, be expressed in a non-verbal form indistinguishable from a non-epileptic seizure?

Possibly.

Might fool a casual observer but not an ekg

dv said:

Might fool a casual observer but not an ekg

Non-epileptic seizures can have normal EEG (electroencephalogram).

OCDC said:

dv said:

Might fool a casual observer but not an ekg

Non-epileptic seizures can have normal EEG (electroencephalogram).

Somehow I missed the non.

I distantly recall having a type of seizure when I was about 4 years old
caused by an excessively high fever (temperature) cause by influenza

it was my earliest hospital experience (not good)

Thanks folks.

If there are other symptoms, functional neurological disorder could be the cause.

You may be interested in this:

EEG and video-EEG seizure monitoring has limited utility in patients with hypothalamic hamartoma and epilepsy *y1 Matthew Troester, z1 Rachel Haine-Schlagel, *yYu-tze Ng, *yKevin Chapman, ySteve Chung, yCornelia Drees, xErin Prenger, {Harold Rekate, and *yJohn F. Kerrigan *Division of Pediatric Neurology, Barrow Neurological Institute and Children’s Health Center, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona, U.S.A.; yComprehensive Epilepsy Center, Barrow Neurological Institute and Children’s Health Center, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona, U.S.A.; zSan Diego State University and the Child and Adolescent Services Research Center at Rady Children’s Hospital-San Diego, San Diego, California, U.S.A.; xDivisions of Neuroradiology, and {Neurosurgery, and Barrow Neurological Institute and Children’s Health Center, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona, U.S.A. SUMMARY Purpose: Hypothalamic hamartomas (HHs) are a mal- formation of the ventral hypothalamus and tuber cin- ereum, associated with gelastic seizures and epilepsy. We sought to determine the spectrum of electroencephalo- graphy (EEG) abnormalities in a large cohort of HH patients. Methods: Data was collected for HH patients undergoing evaluation between 2003 and 2007. Data included seizure history, prior treatment, and results of diagnostic stud- ies. After informed consent, data were entered into a database. Key Findings: We reviewed 133 HH patients. Mean age at time of data analysis was 15.7 years (59.4% male). Most patients had gelastic (77%) and/or complex partial sei- zures (58%). Records for 102 EEG studies on 73 patients were reviewed. Interictal epileptiform abnormalities were seen in 77%, localizing predominately to the tempo- ral and frontal regions. Records for 104 video-EEG (VEEG) studies on 65 patients were reviewed. Of 584 gelastic sei- zures (GS) captured, no ictal EEG change was noted in 438 (75%). Of GS with localizing features, 89% suggested onset from the temporal and/or frontal regions. There were 160 complex partial seizures (CPS). For those with localizing features, 100% localized to the temporal and/or frontal head regions. EEG and VEEG findings correlated with the side of HH attachment. VEEG did not influence outcome. Significance: EEG features in HH patients are diverse. The majority of gelastic seizures fail to demonstrate change in the EEG. The lack of EEG changes with many clinical seizures, and the false localization seen in those events with an ictal change suggest the utility of EEG is limited in the evaluation of these patients. KEY WORDS: Epilepsy, Gelastic seizures, Hypothalamic hamartoma, Presurgical evaluation, Seizure monitoring, Video-EEG. Purpose Hypothalamic hamartomas (HHs) are an uncommon con- genital malformation of the ventral hypothalamus and tuber cinereum. Intrahypothalamic (sessile) HH lesions are highly associated with treatment-resistant epilepsy, cognitive impairment, and behavior disturbance, often with a progres- sive clinical course (Berkovic et al., 1988; Arita et al., 1999; Arzimanoglou et al., 2003). Conversely, parahypo- thalamic (pedunculated) HH lesions are usually associated with central precocious puberty without neurologic symp- toms (Arita et al., 1999; Debeneix et al., 2001). In Sweden, the prevalence of HH associated with epilepsy is 1 in 200,000 children and adolescents (Brandberg et al., 2004). HH lesions are intrinsically epileptogenic for gelastic sei- zures (Kahane et al., 1994; Munari et al., 1995; Kuzniecky et al., 1997). More recently, several reports have established that surgical resection (or disconnection) of the HH eliminates or decreases seizures in a majority of patients (Rosenfeld et al., 2001; Harvey et al., 2003; Ng et al., 2006, 2008). Gamma knife radiosurgery is also effective for treat- ing refractory epilepsy associated with HH (Regis et al., 2000, 2006). However, the natural history of epilepsy associated with HH is complex and evolves over time (reviewed in Kerrigan et al., 2005 and Harvey & Freeman, 2007). In addition to Accepted February 27, 2011; Early View publication May 13, 2011. Address correspondence to Matthew Troester, D.O., Division of Pediat- ric Neurology, Barrow Neurological Institute and Children’s Health Center, St. Joseph’s Hospital and Medical Center, 500 West Thomas Road #400, Phoenix, AZ 85013, U.S.A. E-mail: matthew.troester@gmail.com 1 These authors contributed equally to the work. Wiley Periodicals, Inc. ª 2011 International League Against Epilepsy Epilepsia, 52(6):1137–1143, 2011

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doi: 10.1111/j.1528-1167.2011.03095.x
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