10 yo girl with this type of episodic presentation ,saying loss of vision and recognition during episode ? please suggest dx and rx
I think details of history is must in this case. I agree with the differetial diagnosis of a seizure disorder but young female patient with such presentation could also be a case of conversion disorder
It can be a variant of Petit mal epilepsy ... so to confirm n ruke put ... go for Eeg ... n note spike n wave 3 per sec .. typical of absence attack ... n then if req go for NRI brain .. for any space occupying lesion .... or start treatment with sntiepiletic Med ... di valproate ... n note the improvement or effect n then u May add new one ...that is what I think n hos I handle ...
Firstly you need to rule out neuro infection. Once this is done and EEG is negative, a diagnosis of pseuseizures can be made. Treatment as necessary with a Psychiatrist's help would be appropriate.
Voluntarly doing. Hysterical conversion reaction. Ref to clinical psychologist
Serum Na cl k,EEG,cbc,papilloedma check ref to opth,spo2 past history neurosis conversion ,seizure breath apnea episode details ...
THis video does not show when she encounters loss ofhh loss of vision.Besides comversion reaction it may be attention seeking in nature.thorough introspection is needed.
It is depressive psychosis. Refer to psychol
CONVERSION REACTION
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