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The postictal state often occurs after an ovoid ictus . During this period , the individual possesses a upset consciousness state , making it for him or her to empathise the surround all . In childlike words , the individual discover himself / herself in a perplexing state and the postictal state lasts anywhere between 5 and 30 minutes . However , there are sure subject where an individual can receive the state for a more extensive period .
What is a Postictal State?
accord to Jerome Engel , the postictal state give rise adjustment to the neuronic function but not to the entire structure . After a seizure essence , it is vulgar that the individual experience exhaustion , both mentally and physically . The fatigue can remain for a maximum time of two day . Mostly , patient role often complain about the confused state , unfitness to think appropriately , poor - terminal figure retention deprivation , reduced concentration levels , fall interactive skills , and other cognitive defects that alter from one someone to another . The collection of all these cognitive defects defines the postictal body politic .
Signs and Symptoms of Postictal State
Postictal Migraines
bulk of the patients who have epilepsy kvetch about a symptom of postictal migraine in postictal state . A significant observation that brain doctor often view among their patient role is the sport in the etiologies . The major possibility for the happening of migraines is the intracranial pressure sensation that occurs due to postictal cerebral dropsy . Sometimes , the migraine will be the only clue for the doctor to resolve that the patient role had a seizure attack . Depressionis another symptom found in many of the patients who had postictal migraines .
Todd’s Paresis
Defining Todd ’s Paresis is simple because it is only a regional departure that occurs only in any one of the realm where the attack took place . The demonstration of this symptom of postictal nation depends on the position of the ictus . The major broker that can do a severe difficulty , in this case , is the occurrence of motor routine , that can head an private feeling from weak to strike fair game to full paralysis . Patients with restorative - clonic seizures displayed motor function impairment along with irregular loss of audience , passel , and numbness .
Postictal Psychosis
Although postictal psychosis pass off as a rare symptom of postictal res publica , patients experience auditory , optical hallucinations , paranoia , aggression , and delusions . After the conclusion of the raptus flak , the somebody remains confused for a few seconds experiencing the symptom , and then gradually regains consciousness and rejoinder to the normal state . The period , known as lucid phase angle , can last for two minute or more than a calendar week . About 20 to 50 % of the patients suffering from the seizure attack expose the psychosis phase which can last from 12 hours to over three months . The stage is curable using antipsychotic drug , and the doctor can reduce the sexually transmitted disease and lay off the medicament when the individual shows no signs of raptus .
Postictal Bliss
Patients also sound off about postictal bliss symptom of postictal state after a seizure attack . The occurrence of postictal bliss is due to the appearance ofamnesia . It is common for the someone who underwent the tone-beginning to experience the symptoms for a few hours , a day or two . In several grammatical case , deadness and confusion are the common symptoms . It can act as a signaling for the clinicians that the individual never had a seizure if there are no signs of these after an attack . In such cases , clinician often relate the berth to the psychogenic lineage .
It is quite helpful for a clinician or neurologist in determine the origination of the capture with the help of the postictal state . For example , little - term memory passing occurs due to seizure in the dominant cerebral hemisphere whereas visual memory loss happen due to seizure attack and non - predominant hemisphere .
References :
“ Postictal State : symptom , Duration , and Treatment ” – Verywell Health . https://www.verywellhealth.com/what-is-the-postictal-state-4174819
“ Postictal State ” – Epilepsy Foundation . https://www.epilepsy.com/learn/seizure-and-epilepsy-101/what-happens-during-seizure/postictal-state
“ Postictal States ” – Medscape . https://emedicine.medscape.com/article/1187184-overview
“ Postictal Confusional State ( PCS ) ” – MedLink Neurology . https://www.medlink.com/article/postictal_confusional_state_pcs
“ Postictal State : Understanding the Aftermath of Seizures ” – Healthline . https://www.healthline.com/health/epilepsy/postictal-state
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