![]() ![]() “I can hear very brief audio clips that I feel like I should recognize,” said Barker. Read more about post-ictal psychosis and how to recognize and treat it.įor Barker, the fear and confusion subside after 30 minutes or so, replaced with hours of fatigue, short-term memory loss and sleep problems, as well as a day or two of auditory hallucinations. Also, post-ictal psychosis is most dangerous to the person experiencing it suicide risk is high, though interpersonal violence does occur. Post-ictal psychosis is a rare condition that arises several hours or days after a seizure, rather than directly afterward. But that is not post-ictal psychosis, though it can be misidentified as such.” “Someone might try to restrain them, for example, and they might punch someone or resist paramedics or police officers. They can be very confused or agitated,” said Andres Kanner. “In the immediate post-ictal state, people are recovering. This reactive aggression is distinctly different from violence related to post-ictal psychosis. Post-ictal fear and confusion are so common that many epilepsy centers have had representatives testify in court, supporting patients who have lashed out at a police officer or first responder after a seizure. ![]() Such fear and confusion can sometimes morph into aggression if a bystander or first responder doesn’t understand how to interact with someone who’s just had a seizure. “I don’t know what anything is, I can’t verbalize my emotions, and my thoughts are quite simple … It’s like someone has pressed the ‘reset’ button on my brain.” “The world is very big and scary ,” Barker said. Her current post-ictal state encompasses frustration, confusion and fear. “I experienced an inability to speak and confusion about my surroundings, but it was extremely peaceful, like I'd just woken up from a good nap,” she said. During the first year of her seizures, the post-ictal period was soothing. She has absence seizures during the day, and tonic-clonic seizures at night. ![]() Victoria Barker, a 30-year-old Canadian, was diagnosed with epilepsy at 21. And little is understood about why they occur. With a few exceptions, there are no treatments for post-ictal complications, other than preventing the seizures that precede them. Some last an hour others can last for days. More than 70% of people with epilepsy report post-ictal (after-seizure) complications, including confusion, fear, exhaustion, headache, emotional reactivity, memory problems and behavioral changes. For many people with epilepsy, however, the seizures themselves are secondary it’s the after-effects of the seizures that dramatically affect their lives. Newswise - Seizure control is the primary driver of epilepsy treatment. ![]()
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