Routine EEG Patient Constantly Seizing Without Convulsions (NCSE)
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- Опубліковано 5 вер 2024
- My name is Jared Beckwith, I’m a registered EEG technologist. In this video I talk about a routine EEG I did on a patient who’s brain was constantly seizing without any convulsions. This is a dangerous condition called nonconvulsive status epilepticus. I was able to notify the neurologist and get my patient quick treatment. Status epilepticus is a dangerous disorder where the brain is constantly seizing and if left untreated can result in permanent brain damage or death. I’m proud that I was able to help my patient with this EEG! 😊
Helping patients like this is why I love my job ❤️🧠
Thank you for your dedication and attention..
I appreciate you watching my video Jeff! Thank you my friend
Good eyes way to stay on your toes for your patient. I'm Epileptic, I wish all went like you
Thanks for watching, I’m always looking out for my patients!
Just listened to your video. Very interesting. Better than all videos I usually see on epilepsy which are so incredibly boring ! I’m a young 70 yo female developing “ictal” epilepsy at 69. Was on many meds without success. Only lost consciousness at the beginning. Since then , I’ve been aware of them and have had a few severe cluster and severe seizures of which I’m fortunate enough to have aura’s , lie down in bathroom and experience total loss of control of bladder. Lasts for about 1 minute. After, I’m tired. I’ve had at least 20 EEG’s. Neuro says seizures are “all over my brain “. I now have a VNS. first week. Mine symptoms of epilepsy all started with loud tinnitus that has never stopped. Docs blow it off bc they don’t know a dang thing about it. When he started up the VNS the tinnitus was unbearable. May want to look into this. Going on at this very moment. I have no memory loss. I function fine. I’m alone (widow). Wonder if it was caused by a stroke ? MRI was normal ! Very strange. I carry rescue med for clusters. But SUDEP is a worry for my Neuro doc. Any comments? You probably know more than him !!
I’m glad you enjoy my videos! The most common age people develop epilepsy is either early childhood or when they are over 60 years old. There’s a lot of epilepsy patients out there with similar stories to you, so don’t feel alone. A normal MRI without any tumors, scarring, or major stroke is a good sign. I hope you your neurologist can improve your tinnitus and keep the seizures controlled. Best wishes!
Hey Jared, love your videos very much appreciated. i just recently got hired as an EEG tech and i love the videos you make. Great Job!
Thank you for watching! Kind comments like this motivates me to keep posting 😊
Great job man, you saved his brain. I would like to see the report of that patient having NCSE.
Thanks I appreciate it! NCSE is important to catch as soon as possible to minimize any brain damage.
@@jaredbeckwith Yup true. Can we connect on LinkedIn.
TY for sharing this. My student will be doing a presentation today on a patient who had nonconvulsive epilepsy while intubated and had to be given very high doses of Versed. Although the presentation is not focused on that, it is a part of his history and I am unfamiliar with this form of epilepsy.
Sounds like an interesting case. It’s always amazing to see the epileptic activity on EEG go away after a patient gets Versed!
Great job! God placed you in that room at the right time!🙏👏👏👏😁
Yes I am grateful! 🙏😇
I possibly had this before my hemispherectomy.
So does magnesium work. Probably one reason he was having seizures or its intensity.
Hi, do you know if a patient can have just FOCAL AWARE non-convulsive status epilepticus? I have frequent focal aware seizures, and sometimes they last longer than 5 minutes, but it's just my left temporal lobe involved. (Looks like the patient you discussed had diffuse seizure activity...
It is technically possible, however I would suspect the person would have some cognitive impairment if in status epilepticus.
What is it called when the patient getting tested is talking on a subject then becomes in altered state of consciousness..Patient can hear. And see but not respond....like they hear...hey where did you go..but you can not answer...then you have a memory on talking but can't remember the subject ..its like a period of time completely eras3d...and do you techs report things of this nature to the neurologist? It occurred before the machine was started during the electrode placement...all I remember is staring seeing a hand wave...and I could not respond at that time....scared the freak out of me...I asked what subject we were on..and she said about how mrii can show if there was seizure or if there is seizure activity. Have you any patients in general that dis that? And how come my seurologist does not know this occurred?
And most of all why didn't the machine pick anything up..is it true that an eeg is only 50 percent accurate?
@@wearesolarfarmers If you had any kind of event, the EEG tech should have noted it for the neurologist. Not every 30 min EEG will pick up abnormal brain activity. Some patients need long-term monitoring (3 days) to capture an event.