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Have been experiencing pseudo type seizures. Connected with vagus nerve?

Feb 2013
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Practicing since : 2002
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I heave been experiencing pseudo type seizures for over 4 years now and they come in spurts. I have had 4, 4 weeks in a row and then I can go almost a year without one. It seems to be connected with my vagus nerve. I drop like a slithering bag. I work in a hospital and one physician stated, after witnessing me, that it looked like someone had flipped a switch.
I have had about every test and exam that there is out there. I thought I would try this site.
Posted Sun, 31 Mar 2013 in Brain and Spine
Answered by Dr. E Venkata Ramana 2 hours later

Thank you for your query,

Pseudo type seizures are a type of seizure that is not related to abnormal electrical activity in the brain.

Pseudo seizures are caused by severe emotional stress.

The origin of seizure is in the brain and they are not related to cranial nerves like vagus nerve.

Prolonged video-EEG may help to differentiate between a seizure and a pseudo-seizure.

Are all investigations and examinations related to this events ruled out every abnormality related to epilepsy or seizure?

What is the final conclusion of Neurologist?

Please provide this information to advise you in a better way.

Hope I have answered your query, if you have any clarification please let me know in your next query.

Above answer was peer-reviewed by
Follow-up: Have been experiencing pseudo type seizures. Connected with vagus nerve? 19 hours later
Thank you for your response. Yes, I have been through the 24 hr/72 hr EEG study. An echocardiogram, a tilt table test, a 24 hour urine test that helps determine if one of my organs is secreting a drug into my system... I apologize I do not exactly the name of the urine test, but I was to collect urine for 24 hours in the same container.
I have had CT scans, MRI's. It also seemed to happen around my periods for a good while there. Then one out of many ER visits the physician had me get an x-ray? not sure, but she came back and stated I have fibroids in my uterus. So that was when I got my total abdominal hysterectomy. It has been two years ago. I thought that was going to get rid of them. But not so....

My neurologist is one of the top here in XXXXXXX OH and he stated I do not have epilepsy, which I am glad for. He did say that he has seen cases where extreme pain can cause what looks like a tonic clonic type seizure, but they are not. My episodes are reported by the EMT's as tonic clonic type seizure. Hence he basically has no need of me to come to the office. This is true from the last episode that I had about three weeks ago, the ER people told me with the d/c instructions to get an appointment with my Neurologist. I called to make an appointment and he told the nurse I did not need an appointment.

Needless to say this has been frustrating. But if what you are saying is usually the 99.9% reasons for pseudo-seizures, extreme stress, then that totally fits. I would have to write a book to explain all in my life regarding stress.

It is probably brought on by my own doing 75% of the time.

I just want to be sure I am not missing something in my health that would trigger these episodes anymore.

Thank you for your time,
Answered by Dr. E Venkata Ramana 1 hour later

You are welcome.

Thank you for getting back,

You should be reassured as the evaluation with examination by an eminent Neurophysician and thorough investigations ruled out seizure disorde (epilepsy).

This type of pseudo seizures get aggravated during stress like around menstual period due to hormonal changes.

In pseudo seizures, there will be predisposing and precipitating psychological factor causing stress before the event.
And the events occur subconsciously without the knowledge and without the control of patients.

Management of the psychological precipitaing factors, stress, and the emotions is the mainstay of the treatment of pseudo seizures.

So I advise you to consult a psychiatrist and clinical psychologist for the evaluation and treatment of your pseudo type of seizures.

Hope I have answered your query, if you have any clarification please let me know.

Above answer was peer-reviewed by
Follow-up: Have been experiencing pseudo type seizures. Connected with vagus nerve? 2 days later
Yes Dr. E Venkata XXXXXXX I do seem to have those predisposing and precipitating psychological factor causing the stress and I truly was not aware of it.

I was to be at a very important meeting one evening, which involved my daughter and a man who was married and some things started to happen, and the night we were all to XXXXXXX with the wife and husband and my daughter with the counselor, I had an episode in my car. I felt this tension in my chest and things started going white and I pulled over and proceeded to have an episode.

If I look back I can see times of stress. You have been most helpful and yes you are right, I am very grateful that I do not have epilepsy!!

I was just called into my Employee Health today however, for a quality check up on me and to cover their files. They wanted to know how can I be sure that I will be safe driving to work? They would not want that to happen, what would or could I do to "destress" my

life? (sorry, I hit the wrong button) I got nervous and wondered was this a potential threat on my job? She was very nice, but did not discount it, she just said not at this point.

I did explain how I connected with the physicians "ask" line on web and for me you have really been more help than any of my physicians here. Maybe they were afraid to tell me I needed to see a psychiatrist. I do see a psychiatrist for meds already, but have lost my psychologist. He went on to Hospice, pallative care nursing. I was seeing a nurse practioner under the guidance of a psychiatrist.

So thank you again. I hope I can get a better foundation and not ever have one come back.

Answered by Dr. E Venkata Ramana 1 hour later

Thank you for getting back,

Nothing to worry.

Things will get better with a Psychiatrist consultation and counseling.

Try to lessen stress, anxiousness, and be positive.

All the best.

Hope I have answered your query up to your satisfaction, but if you have any clarification please let me know.

Above answer was peer-reviewed by
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