Seizures | Etiology, Pathophysiology, Clinical Features, Treatment, Complications/Status Epilepticus

[@hassansalat6321]

I thought this video is too long but after finishing it I realised that it's worth every second, thanks man

[@yahya.3a407]

i totally agree with you

[@oracode]

The king of medical KZbin teacher. ❤️❤️

[@fozilov_ziyodullo]

I agree

[@Sabrina_p0p]

If you have high BP or you had a stroke then you might have seizures I'm a doctor and I help people who had a stroke and I give them a shot that makes the blood break up and they go home when the blood is broken up and I get reports that the strokes made seizures

[@energyhands]

Broken up? Doesn’t sound very clinical.

[@krchannel1423]

I think you don't know Dr najeeb lacture

[@nursingknowledge13]

​@@krchannel1423yes I was about to do the same comments, Dr Najeeb is the god of Medical lectures, But both of lectures we are getting help 😊

[@Khabarkus_]

1.4 hrs........standing for us...hats off to you sir

[@johnayala2540]

I thank God for smart teachers like this man who teaches people that wants to learn. The best teachers can be found on KZbin...for free. Nowadays, ignorance is a choice.

[@drsinghtastic]

Yes indeed! Ignorance is a choice!

[@mysticalbeast3285]

g

[@connorhill9047]

Initially, I couldn’t agree more. With that said, you could make the argument that people don’t have access to these resources or know that they exist.

[@ovoace7307]

@@mysticalbeast3285 ioo

[@patriciabriscoe7437]

@@mysticalbeast3285 UK jo

[@teresatorres7086]

My 27-yr old son has Lennox-Gastaut Syndrome. It’s a horrific Epilepsy Syndrome that we’ve fought hard to control. I stumbled upon your video while searching for a video explaining seizures for a young lady who has been working with my son. She’s been inspired by him and is interested in a nursing program to become a NP. Now she has a resource for her studies. Great job! Doctors should watch this.

[@iancresswell108]

You are an enigma my friend. Your blend of knowledge and charisma is so amazing to watch. I truly hope you know how much you are valued. Much love from Australia

[@cyberpunk6142]

You have the best personality! I LOVE your spark and the life in your eyes! I see that you love your line of work and it shows. You make your lectures so addictive by the way you teach them!! Many thanks x

[@jdbarrezueta9271]

As a person that had a left temporal lobe tumor (astrocytoma), along with seizures, I can tell you that I've experienced the Aura, deja vu, nausea, along with the focal motor (tonic) sensations. Now I know in much more detail what's happening in my brain. Great explanation. PS: Keppra (Leveteracetam) is what I was prescribed.

[@blackbeauty2166]

I use to be on keppra, but it gave me a personality switch. Now I take another type

[@scottcupp8129]

The brain is a mysterious and fascinating structure. How are you doing these days?

[@jdbarrezueta9271]

@@scottcupp8129 I'm still on Leveteracetam, through some tests my neurologist told me that the Leveteracetam levels were normal, so we started to cut off on some things like caffeine & sugar (I used to drink about 4 cups a day), and it has really made a positive impact on my health (less headaches, no deja vus)

[@Ben-ij7lz]

Tumor survivor here too. Pleomorphic xanthoastrocytoma! Seizures. All good now 16 years later. 👍

[@scottcupp8129]

@@Ben-ij7lz Awesome Ben!

[@taoficmakaya1727]

You areare the best teacher ever and ever. I'm in pediatric rotation since you dont have pediatric videos i'm really struggling to understand and i always say : if only Zach was my teacher

[@donyinakingsford1338]

I am medical student and really I enjoy your lectures

[@vinayakkapatral4246]

Man! Where does Zach gets his energy and excitement to give such a complex lecture? Thanks Zach and his excellent support team!

[@Amanda-cc8iy]

I’m so happy you 😊😊😊😊😊😊😊😊

[@toady1up]

This is a phenomenal video. Thank you so much for your depth of research and the comprehensive nature of your presentation. The passion with which you present this delicate material makes it even easier to connect to a very complex phenomenon. I am a single mom and a nurse. My daughter just recently started presenting with seizures: 7 since August. It has been extremely frustrating and degrading not to have found a provider to take us seriously, often dismissing us from one visit to the next. Meanwhile, my child continues to suffer. Thank you for taking the time to empower caregivers as well as practitioners.

[@cristiemcneese7949]

I have epilepsy and I always dread having my neuro lectures. You have truly done an amazing job at the content. Thank you so much. This is my go-to channel before every exam.

[@stevenwade3958]

I was just diagnosed with mesial temporal lobe epilepsy about a month ago and it's really interesting to learn exactly what's happening in my brain!

[@hairballjones8451]

I have a family member also diagnosed with THAT- Interesting learning more about it.

[@medicine7126]

I AM LITERALLY SO HAPPY TO DISCOVER THIS CHANNEL. NINJA NERD SAVES, CHANGES AND IMPROVES LIVES. THANK YOU FOR BEING THE BEST.

[@ld7256]

I have epilepsy and this was so informative! My doctors/the hospital gave me almost no information after I was diagnosed. Thank you for this!

[@TimmyD3085]

I was diagnosed with epilepsy in 2005. Thank you for sharing everything

[@evelynetilus2416]

I thanks MY Lord for those kinds of intelligent teachers that he gives the power who took the time to learn about SEIZURES and teach people with SEIZURES.

[@creeshyanne1365]

I’ve been getting in the process of an epilepsy diagnoses, the paramedics know me by name and told my fiancé when I passed out the other night was that I have seizures that make me faint, high heart heart, low blood pressure, insomnia and always twitch and get pins and needles trying to fall asleep and am on a high dose of levitrazapam and b1, and this video really helped me understand what is going on 🖤

[@DrMamun-kb3nu]

The Best lecture on seizure I have ever attend in career life yet.❤️

[@SJ-jq2rt]

thank you so much !!! you are building the next generation of scientists and health care workers !!! love from a nursing student

[@ilos9883]

The amount of knowledge you are blessing us with is insane. Worth weeks of my study material! Thank you ninja nerd, you are saving us and our future patients!

[@bukurunestory3540]

very interesting lectures made simple. You are so incredible Teacher.

[@noorseckam4382]

You guys literally change lives...medicine just makes sense with Ninja Nerd.. Honestly wish u could teach my university to lecture us with such an amazing detail yet simplicity to e peak

[@mrsamandabernier]

❣️🙌 totally agreed

[@deborahlopez1231]

Thank you. Your videos are renewing my enthusiasm in learning and motivation to go back to college. I would encourage those with ADHD to watch; it’s a game changer!

[@Jawah-c6h]

Just a correction for focal seizures with impairment and focal seizures without impairments on NN notes they are reversed and the correct is that focal seizures without impairment is called simple partial seizure. All good. A great supporter for NN and a big lover 😍

[@annafultz2236]

Thank you for making this video, I have had epilepsy for 18 years and have no idea why I have grand mal seizures. It sucks! This video has taught me more than any doctor has ever tried to tell me, or been able to. Still going to see the doctor don't worry, lol.

[@shayrodYT]

This guy is the best I’ve had epilepsy since I was born going on three years of seizure free

[@courseconceptsacademy4546]

I am an EEG technologist who works in the ICU and this was immensely helpful to further my understanding. Thank you GOAT!

[@lisaanneagan1989]

I am enjoying all your topics. I am am EEG tech. I am studying for my EEG Registration. You are a wonderful teacher. thanks

[@tamikabridges8677]

Watching this whole thing I felt like you were diagnosing me I have never ever seen seizures broken down I like you break them down even though I have seizures I’ve never understood them so thank you

[@glenncalzada1707]

Thus dude is King YT Dr.!!! Amazing clarity and simplicity while maintaining clinical accuracy. If I needed a Nerologist, he would be the Guy I look for. His straight forward approach is reassuring. Plus he's sleeved. 👍

[@mosesnchimunya8136]

God is faithful to have people like you,your teaching approach is super good," learning made easier is the other name for your channel 🤣🤣

[@Gandalf-DZ]

I cannot explain how easier is watching your lectures in comparison to my daily studies

[@chahatsachdev7260]

Thank you for your great contribution in selflessly exerting for the education for thousands of students !!! You are so much respectworthy !!! I will one day too .. become a doctor and treat people to best of my ability and also educate people like you !! Thank you for inspiring me so much !!! Thank you so much❤️🙏

[@mrsamandabernier]

Your channel has truly helped me believe that it's worthwhile to apply to medical school as an atypical applicant late in life. Thanks ❣️

[@jasonblairlewis]

me too! i just started my pre requisites knowing I can watch Zach

[@riyajaktar8459]

You are a great teacher.....I am an Indian....I am a medical student.....your lecture help me a lot....God bless you Sir ❤️

[@lotharschramm5000]

So many indians in these knowledge videos... no wonder India is rising so much nowadays. I love you and your country, much love.

[@aliakhtar3558]

What I have learned As a Epilepsy Patient • It’s hard to bear, but we cannot lose hope to get healthy one day. • We can reduce ratio of attacks, if we follow doctor’s advices in our daily routine. • We have to spread awareness about epilepsy, and show the world that nothing is impossible in life. • There are many people who are suffering from epilepsy, but they are living their lives very happily. • It’s a continuous struggle to keep Yourself focus on your goals rather then worry about your disease.

[@ryon1942]

thank God for getting such a best teacher..thanks for such an awesome lecture.

[@emmarawrfase]

IDK what I'd do without your lectures, hey. So much detail, so easy to digest.

[@bhuvanakumar1113]

Someone please give him Oscar for best teacher 🥰🥰🥰.... He is such an amazing tarcher..... I'm became proud of ninja nerds😭

[@jordan.anderson27]

Crazy! I gained seizures after having an AVM surgery! But luckily I have had no seizure for almost four years! Have been taking my Kepra to help not having them!

[@WilliamMazune-k4f]

This is grate doctor,i love ur lectures

[@raeblair6166]

Mnemonics are the key to learning such complex information. I still want to be able to remember this information with equal enthusiasm!

[@vabvba28]

I must say that you are the greatest teacher I've ever had. You inspired me and make me dream about the moment when I'll be a doctor and teaching my students. Even if I have studied the farmacology of nervous system, it is cool to revise the basics. You're my favourite

[@0403julietguevara]

Pharmacology.

[@vabvba28]

@@0403julietguevara sorry for my mistake , I was in a hurry,

[@hairballjones8451]

Mine too- @VAB VBA- and don't obsess about spelling mistakes- especially if English wasn't your birth language. I had 5 years of French language tutelage- I still make my Canadian friend from Quebec giggle over my phonetic spellings.

[@00HoODBoy]

Good luck

[@victormulenga4690]

The time i started watching your tutorials Biomedical science has been easier for me Salute man, thanks man for your simplest explanation wooo

[@TheRiguyy]

This dude teaches so well. You are amazing ninja nerd!! I found this channel yesterday and I’m so happy I found it… been watching for hours since yesterday 😂

[@himallala7092]

There is literally no better video for seizures on KZbin besides this 🎉

[@tigerhillsupa]

I saw many patients in ED have aura before seizure. it is such an interesting topic to study, particular the treatment part. very well explained!

[@lukevalentini5187]

A lot more information that I'm enjoying listening to as I suffer with epilepsy myself tonic clonic seziures.

[@andrefreddymandujanobravo3895]

Muchas gracias tu video me salvo la vida y el curso, saludos desde Perú.

[@firionflame4435]

Your lectures are priceless. Your video just helped me figure out what's wrong with my patient

[@nadernayo]

Great job.....one part that was not mentioned is Catamenial epilepsy which is seizures related to hormones.. Thanks a million for that wonderful effort.. Very very appreciated

[@SkullyStitches]

I have photosensitive epilepsy and know a good bit about it but I didn’t know so many other things can cause seizures. Just so happened I came across this randomly and was interested to know more even though it’s a long videos. I sat through it. I think if it was on something else I wouldn’t be able to.

[@yashranga9954]

you are a blessing to us dude..

[@paolacabosviloria7604]

Best teacher! I see your videos from Peru and these are very helpful for my usmle step 1 preparation. I really notice how much you enjoy sharing and teaching your lectures!

[@razanomer486]

first time understanding seizures , thank you so much

[@biancachristie]

Hi guys! Thanks for this. I’m on a crash course to learn as much as I possibly can about seizures because I was just diagnosed with a seizure condition. My neurologist can’t be much more specific yet-looks like more time and observation is needed before he can narrow it down. I think you might consider adding psychedelic drugs to your list of drugs that lower the seizure threshold. I know because it happened to me-a combination of LSD and lithium back in 1992 gave me a huge bout of clonic/tonic seizures (full on status epilepticus) for at least an hour, followed by a coma for about 6-7 hours. I also fell on my face so hard that I broke my nose. Since then, I’ve had a handful of seizures under circumstances where I would have never had them before-dehydration, flashing lights, etc. Then, about 6 years ago I started having severe migraines, tinnitus, and weird visual phenomena that usually behave like migraine auras but sometimes don’t. My neurologist says my brain looks like I played football in college: I have small bits of collected scar tissue from TIAs over the years, related to what looks like pretty constant seizure activity. I’m still learning the terminology, but I think I have both absence and different types of focal seizures. I did have a lot of concussions as a kid because I was a crazy tomboy and I also snowboarded and hit my head a few times doing that, so that could be related, but I doubt I would be having the problems I have now had I not messed around with that particular combo of drugs. (Too bad, for me anyway, because I actually did get a lot of therapeutic benefit from psychedelics, and I think there’s a lot of real potential in the research being done in psychology and, hopefully, psychopharmacology, for depression and anxiety and other issues that are difficult to treat). We’ve landed on Topomax for now to hopefully deal with the migraines and cut down on the seizure activity. I was already taking Esgic and Diazepam, for the migraines and anxiety respectively, so maybe the cocktail will work without our having to move on to some of the anti-epileptic meds that have more intense side effects.

[@ausenciosanchez6300]

Hi !!! It sounds like you have heavy metals in your brain !!! So you need to take the HEAVY METAL DETOX SMOOTHIE BY MEDICAL MEDIUM. He has written 6 books, if I was you, I will be getting these books & learn how to finally heal. Because if you are waiting for your neurologist, you'll be trapped by the pharmaceutical drugs. I know that you can heal......!!!

[@Nancy-pc6sf]

Hope you're doing well now??

[@aiqbal02]

10 months on, how have things been? Hope you're doing better now.

[@ParamUncut]

Hi Dr I'm Preparing for UG MEDICAL Entrance test of India Called NEET using your videos. They are so soo Helpful to Understand the concepts. Thanks a lot Bless me good

[@rumeysaeed1]

Watched in one sitting! Thanks so much ! 😊

[@Ben-ij7lz]

Love your vids. I'm an Rn and worked in neuro step-down and rehab, general rehab, medsurg, and also psych. Some of what you said here reminded of some of my psychiatric patients not presenting with seizures, but with mental abnormalities caused by some of the metabolic causes you mentioned. But that's not the point of my comment. 2001 (age 21) I started having seizures. More specifically complex partial seizures. Never had any trigger, aura or warning. They just happened. I was treated with several medicines for 6 years with no benefit. In 6 years of treatment I also had a few big bad seizures. It turns out I had a BRAIN TUMOR in my left temporal lobe. How it was missed on MRI for YEARS still baffles me. Fortunately several different tests determined it was safe to remove. The tumor happened to be a PLEOMORPHIC XANTHOASTROCYTOMA. It may be rare, but seizures are usually the only symptom. In hindsight, I know it was affecting me psychologically years before the seizures started. You can add this tumor to the list of neoplastic causes of seizures. Unfortunately, because of the tumor and surgery location, my mental and emotional health was unstable. To be brief, I was forced to leave nursing. But the good part of this story is I'm healthy now with no deficit. No seizures since 2007 and no neuro follow ups since 2016. I'm still trying to figure out who I am sinces the tumor removal but thats beside the point. My point is you can add a PXA to your list of tumors. Thanks for your vids. They are awesome.

[@Ekon147]

May God continue to bless you. Thank you.

[@liliflower1]

Saving my future medical career one video at a time😂 Thank you, Zach

[@rwapembestephen2325]

The way you are saving my BNS. Much love from Uganda

[@arber7240]

You made this topic so approachable! In a lot of books its just so unneccessarily convoluted thank u so much for making this lecture in such an easy to understand and remember format!

[@rebshannonling]

After attending this lecture it's a miracle for anyone to be 100% healthy. Treasure health. ❤️

[@eap27]

As an emt this helps me a lot. Thank you!!!

[@wafa1402]

Your effort is really appreciated. Thank you for the time, and effort, and for explaining the topic in a smooth way.

[@Shadow-bs1iu]

These videos are just too good to be true, but obviously they are. You are seriously skilled with presentation. Absolutely superb videos!

[@imkhan1193]

you are a real NINJA sir , an explaination that i could not find anywhere else thank you man and the whole team of NINJA NERD

[@carolynhebertdimeo4060]

Thank you so much. You were a big part of my passing A+P with a B+. Your lectures are so informative and interesting.

[@msidarus]

Dear Zach, as usual your summaries are fantastic! Please note that deja vu and impending fear of doom are two different pre-ictal situations. (Deja vu in French means literally "already seen" and it's a feeling that what is happening right now has already happened, or you've already seen the scene/situation.)

[@brianm1232]

Nobody could have explained better. You are great man

[@NINSIIMARONALD-mb6kf]

Thank you very much for the great work, as a medical student , I rlly benefit a lot from your teachings.we lov you here in uganda.

[@jessicabraho1248]

I have an exam in two days and your videos are helping a looooooot.

[@binknbaby]

I came across your channel while studying for my national midwifery exam (looking for more in-depth explanation of things like fetal circulation and Rh/ABO). BUT my daughter has epilepsy (one of her symptoms of Rett Syndrome) and this particular video helped to explain things that her neurologists never did--I know they try to keep things simple for parents, but I'm a nerd and always want to understand the details. This was explained in such a clear, concise, and thorough way, and I really appreciate being able to understand what's actually happening with my daughter when she experiences a seizure (hers are typically Absence, though she can have Tonic-Clonic if she's sick). Thank you for your down-to-earth, engaging way of teaching. It's very helpful!

[@MariaFlores-gb8wm]

Thank you so much your speech is so clear and you explain it so well I feel better since I watched your video I’ve been so worried and lost my family member just started getting seizures / Epilepsy not even the doc explained it like you so thank so much

[@ManaMaori]

Epilim and Lamactol have prevented my seizures for 1yr now they used to be weekly minor to severe thanks to my amazing Neurologist amazing!!!

[@0403julietguevara]

This guy is genius! Very clear explanation!

[@dr.synthyia]

Great work as always...all medical students and doctors should watch your videos for best understanding of all topics...God bless u and your team..Much love from India

[@rileybarker7482]

The best medical teacher in the world

[@nimafuad5708]

Thank you very much, you are just the best you, literally change medical students life.

[@dr_hulk_neurosurgeon]

The great teacher..with a Hulk like personality...Salute you sir...day after tomorrow I'm having presentation on management of epilepsy...its covered all the important things which I didn't undestand previously..lots of love from India.

[@kenanironside3118]

Auuuu the ad just ruined my absence seizure experience!

[@mkdutta9428]

I wish you never have one, you wouldn't want to

[@jea9034]

Zack, would it be possible for you to zoom out of the board at the end so we can have a look at the overview of the notes at the end? Your videos are so helpful! Thank you so much!!!

[@maria-larisahohan9502]

i think that is possible only if you became a patreon

[@kgaccount]

If patient is transported by medics, they are given Versed Intra Nasal or Im or IV and so usually come into the ER room with an IV and benzos on board. Of course sometimes no IV can be started for various reasons. If an IV is started, the ER can then start the IV administration of Keppra or combo of Keppra and Dilantin for status epilepticus. IA combo of Keppra and Dilantin has been most effective for my son during status epilepticus. I like how you illuminated looking for underlying causes. That is often overlooked in emergency medicine. For instance, a bacterial infection could exacerbate seizures. Once treated, the myoclonus that progressed to status epilepticus is abated.

[@ANGEL-dn3pr]

Best man ever in this whole universe

[@sarasameer8818]

You're such an amazing person/teacher I'm literally out of words

[@Vikasgupta-sp1oo]

Your videos are very helpful as they contain all information needed. Thank you

[@shireenfatima3815]

Absolutely appreciate you and your team for making our study sessions a lot easier and fun .

[@sharifahiman9456]

Can we please get more of drugs and also paediatrics or emergency medicine 🥺 i love your videos🤩

[@KD-xb5np]

Fantastic video, thank you so much! One thing I want to let other viewers know is that, according to multiple studies, adderall does NOT increase seizure risk in people with epilepsy + ADHD. People with ADHD are more likely to have epilepsy compared to those without ADHD, so that's why there's a correlation between adderall use and seizures. I have L mesial temporal lobe epilepsy and ADHD, and my epileptologist had no issue with me being on ADHD meds. An aura is definitely a seizure on its own (a focal seizure without impaired awareness). Usually my focal aware seizures (deja vu, dissociation/derealization, weird rush of a huge range of emotions) turn into focal seizures with impaired awareness (weird automatisms like lip smacking, head and eye turning, and hand flapping or wringing), which sometimes turn into a tonic-clonic secondary generalized seizure. I always have postictal confusion, which is worse for longer and/or secondary generalized seizures (and especially horrible after status epilepticus). Thankfully I don't get paralysis! If someone has a seizure, time it and call 911 after 5 minutes! If they fall and hit their head, call 911. If they're standing up, put cushions around and stay close by in case they fall. If they're on the ground without head injury, put them on their side. DO NOT restrain them. DO NOT put anything in their mouth. Stay until they're aware. If you can, check for some medical ID bracelet or necklace.

[@mervemerve5876]

Wow that was great. I never believed that I could listen to such a long lecture so focused. You guys are amazing. Everything is so well structured and contains all the important key points together. Thank you so much for your effort. Much appreciated.

[@Wats-80]

Man trains future doctors better than 99% of medical schools. Never change. Medicine is exponentially better because of your materials.

[@mikemurphy3627]

This study is awesome great information on how to help understand how to help one self to premaintnance

[@shanumaverick]

Funny, I literally searched for seizures lectures by ninja nerd yesterday , then this popped up in my notifications 😍😍

[@shanumaverick]

Great 😂😂and weird

[@hairballjones8451]

Timing can mean everything; but isn't it great it's here now!

[@imdadrajool8547]

@@shubhadakedare435 to do you do not have a good boy and his wife and I will be the there for

[@imdadrajool8547]

@@shubhadakedare435 you have to do it

[@imdadrajool8547]

@@shubhadakedare435 to get the latest in the room and they have no clue what

[@SauravBHANDARE--]

You guys are the best, my best away around medicine

[@jasonblairlewis]

Thank you so much! My dog has seizures and I wanted to know what was going on!

[@timguinn383]

thank you ninja your video was very helpful in understanding my seizures and causes thank you so much i appreciate you.

[@ferrislkpokpa7867]

The youngest and the best teacher on you tube, ever!