We got a call at about 0230 for a woman having a seizure.When we arrived we found our patient (a 63 year old woman) laying in bed. The entire left side of her body was contracted and shaking.As we talked to her through an interpreter we found out that she had been convulsing like this for the last 10 minutes or so. She had a brain tumor which was evidently causing the seizures. She had experienced one other seizure in her life that was about a month ago. It was the strangest thing being able to talk with my patient while she was having a seizure. Looking back on it I would have loved to question her about the experience (if she had spoken English). I gave her some medication that almost always works to stop seizures and it didn't work. By this time AMR was on scene so we loaded her up in the ambulance. The medic on the ambulance was going to give a repeat dose of the medication if the seizure hadn't stopped by the time that the started heading toward the hospital.
Something tells me that I haven't seen the last of her. Maybe next time I'll ask her more about the experience.
My mom has localized seizures to the right side of her body due to brain damage - her's are called Partial Simple Seizures and she can talk to you while it's happening too. The only time they are really long - 10+ minutes is if she gets anxious - or if an anxiety attack has triggered it. And the physical triggers for her are lights - strobe lights (like on plows, firetrucks, police cars and ambulances) - Christmas lights are proving to be a trigger too if they are flashing. Not sure why I told you all this, but your patient's symptoms sounded very similar.
ReplyDeleteThanks for sharing your experiences...
Michelle- Thanks for sharing your experience. I'm familiar with strobes causing seizures. I've had to respond to calls for seizures because an ambulance went by and the strobes were the cause. I've never had a patient with Partial Simple Seizures before the one in my post. Good information. Does she cramp up after a while? Is it painful?
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