Seizure Epileptic Enuretic

Seizure enuresis, also known as epileptic enuresis, is a rare condition in which an epileptic seizure is accompanied by uncontrolled urinary incontinence. This is a variant of status epilepticus, characterized by prolonged or repeated attacks of epilepsy without complete recovery between them. Epileptic enuretic seizures often occur in children, but can also occur in adults.

Symptoms of an epileptic enuretic seizure may include:

1. Seizure: The patient may experience jerking movements, loss of consciousness, behavioral changes, motor impairment, or other typical symptoms of epilepsy.
2. Urinary incontinence: During an attack, the patient may lose control of their bladder and experience involuntary urination.

The causes of epileptic enuretic seizures are not yet fully understood. However, it is thought that it may be due to dysfunction of the nervous system that controls urination and epileptic discharges in the brain that damage these control mechanisms. Some patients have structural brain abnormalities or genetic mutations that may predispose them to developing this condition.

Diagnosis of an epileptic enuretic seizure requires an integrated approach. The doctor should conduct a thorough medical examination, including a review of the patient's medical history, a neurological examination, electroencephalography (EEG) and other additional tests. This allows us to exclude other possible causes of urinary incontinence and confirm the connection with epileptic seizures.

Treatment for epilepsy enuretic seizures involves the use of antiepileptic drugs to control seizures and improve symptoms. In cases where conservative therapy is ineffective, surgery may be required to correct structural abnormalities of the brain or implantation of a neurostimulator. Additionally, psychological support and therapy may be helpful in helping patients cope with the emotional and social consequences of the condition.

In conclusion, seizure enuresis is a rare and difficult to reverse condition in which an epileptic seizure is accompanied by urinary incontinence. It requires a comprehensive approach to diagnosis and treatment, including a physical examination, neurological examination, EEG and other studies. Treatment includes antiepileptic drugs and, in some cases, surgery. Psychologist and therapist support for patients is also an important component of care. More in-depth research is needed to better understand the causes and mechanisms of this condition, as well as to develop more effective treatments and management of epileptic enuretic seizure symptoms.

Enuretic spasms are episodes of sudden contraction or spasm of the peripheral sphincter muscle tissue of the bladder. Immediately before the attack, fatigue, headache, and some irritability are observed. With the onset of the attack, urinary incontinence intensifies: there is a sharp urge to urinate, which occurs in the middle of the spasms as a result of relaxation of the sphincters. Due to the fact that the attack lasts from 20 seconds to one and a half minutes, the person has time to reach the toilet or urine collection container. The face is usually distorted and expresses suffering, breathing is rapid and uneven, arrhythmia is possible, and gastrointestinal peristalsis increases. If an attack is registered in advance and the patient has access to means to reduce or suppress the attack, then a drug that counteracts the development of the attack should be taken before it. The most effective are phenobarbital, primidone, sodium valproate, and diazepam. Other medications can be used: Relanium 5-10 mg orally or intramuscularly 3 times a day or metoclopramide 10-20 mg 2-4 times a day. It is inappropriate to prescribe MAO inhibitors, atropine sulfate and diphenhydramine due to their strong inhibitory effect on the central nervous system. The patient should be aware of the cause and nature of the seizures, as there may be a need for assistance with recurrent seizures.