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When the seizure ends the person can have headache, sore muscles, unusual sensations, confusion, and profound fatigue (postictal state).

It usually resolves in an hour unless complicated by head injury, hypoxia, or status epilepticus. See: epilepsy. See also: confusion. Medical Dictionary, © 2009 Farlex and Partners. 1990-06-01 1990-11-01 Violent acts could occur in postictal confusion as an expression of unconscious, vigorous resistance against efforts of surrounding people to prevent the affected individual from roaming or fumbling about.

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Content may be subject to copyright. Case Report. Known as: Confusion Postictal, Confusion, Post Ictal, Post-Ictal Confusion Post-ictal symptoms are very brief (they last less than 30 seconds), stereo- typed, occur out of the context and are associated with Post-ictal symptoms may begin either immediately other seizure-related phenomena such as subtle or overt after the seizure (immediate post-ictal period) or more automatism or post-ictal confusion of variable dura- characteristically from 12 to 120 hours after a Veran O, Kahane P, Thomas P, et al. De novo epileptic confusion in the elderly: a 1-year prospective study. Epilepsia 2010; 51:1030.

Delirium and confusional states are among the most common mental disorders encountered in patients with medical illness, particularly among those who are older. They are associated with many complex underlying medical conditions and can be hard to recognize.

They can be very confused or agitated,” he said. 2010-10-01 · Patients with postictal confusion were matched for age and age at epilepsy onset to patients with PIP. All episodes of postictal confusion immediately following complex focal seizures were registered and were directly observed and documented by the medical staff within 1 month of admission.

What happens to the person during the seizure depends on where in the brain the disruption of neural activity occurs. Following a seizure, the person enters into the postictal state. Drowsiness and confusion are commonly experienced during this phase. Let’s start at the very beginning…

Post ictal confusion

“In the immediate post-ictal state, people are recovering. They can be very confused or agitated,” he said. It is also common to be confused (postictal confusion). And some people experience partial paralysis (weakness) of an arm or leg during the postictal phase of a seizure. This paralysis, often described as Todd’s paralysis, can last for several hours, and may even last for days. Postictal psychosis (PIP) is a specific syndrome in relation to seizure activity: a clear temporal relation exists between the psychotic state of sudden onset and a precipitating bout of complex partial or generalized seizures.

It is also common to be confused (postictal confusion). And some people experience partial paralysis (weakness) of an arm or leg during the postictal phase of a seizure. This paralysis, often described as Todd’s paralysis, can last for several hours, and may even last for days.
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The act of confusing or the state of being confused: Backstage confusion made the rehearsal difficult. b. An instance of being confused: "After his The convulsions were preceded by aura, described by the patient as heaviness in head, and were generalized tonic–clonic in nature, each episode lasting for 1–2 min followed by 15–20 min of postictal confusion. Medically, she was initially treated with valproic acid with a starting dose of 1000 mg/day, gradually increased to 2500 mg/day.

Psychiatric manifestations or automatisms were rare.
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The postictal state ranged from 2 minutes to 2 months based on symptom presentation, that is, postictal headache/confusion and postictal psychosis, respectively (T1‐T3). 4. There have been controversial findings for postictal duration and age. 2021-01-01 1. Psychiatr Neurol (Basel).