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Suggest Treatment For Violent Shaking Followed By Difficulty Breathing And Diaorientation

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Posted on Wed, 9 Sep 2015
Question: violent shaking followed by difficulty breathing and then falling into a deep sleep and waking up 20 minutes later confused and disorientated
doctor
Answered by Dr. Neeraj Kumar (16 minutes later)
Brief Answer:
may be seizure

Detailed Answer:
hello dear,
I have gone through your question and understand your concerns.
sudden onset shaking with posturing of limbs and difficulty breathing, post ictal confusion may be due to seizure.
Is there any childhood or family history of seizure?
Was this associated with frothing, tongue bite, uprolling of eyeballs, incontinence.
Any previous episodes?
Any other type of seizure like brief myoclonic early morning jerking, absences.
Any treatment or investigation been done yet?
Do get back with above details.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Neeraj Kumar (23 minutes later)
This is the fourth time it has happened, yes it looks like a seizure when it is happening, there is no incontinence but there is some rolling of eyeballs and tongue frothing, don't think there's any tongue biting. Another one happened one week ago and the first one happened about 6 weeks/2 months ago and I think it could be happening whilst asleep also. The first time it happened an ambulance was called, a MRI scan was taken and nothing showed up on it.
doctor
Answered by Dr. Neeraj Kumar (8 hours later)
Brief Answer:
To be evaluated for epilpesy and treated accordingly

Detailed Answer:
Hello XXXX,
This looks like epilepsy and need to be evaluated properly. If MRI is normal then you should go for epilpesy protocol MRI. EEG should also be done.
At this age in female juvenile myoclonic epilepsy is common which is usually having Myoclonic jerks and absences. Other possibilty may be idiopathic epilepsy.
You should visit a neurologist and start treatment as soon as possible.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Treatment For Violent Shaking Followed By Difficulty Breathing And Diaorientation

Brief Answer: may be seizure Detailed Answer: hello dear, I have gone through your question and understand your concerns. sudden onset shaking with posturing of limbs and difficulty breathing, post ictal confusion may be due to seizure. Is there any childhood or family history of seizure? Was this associated with frothing, tongue bite, uprolling of eyeballs, incontinence. Any previous episodes? Any other type of seizure like brief myoclonic early morning jerking, absences. Any treatment or investigation been done yet? Do get back with above details. Regards Dr Neeraj Kumar Neurologist