What Is Postictal State?
Postictal Seizures are sudden, uncontrolled electrical disturbances in the brain that cause changes in movement, feeling, behavior and consciousness levels.
The postictal state is the altered state of consciousness after an epileptic seizure. It usually lasts between 5 and 30 minutes, but sometimes longer in the case of larger or more severe seizures, and is characterized by drowsiness, confusion, nausea, hypertension, headache or migraine, and other disorienting symptoms.
If you think you are postictal. Think about the reasons that make you think you’re social. Sometimes what you think is a sign of postictal doesn’t appear later. So don’t panic right away and read the article about postictal comfortably.
First of all, what are the symptoms of postictal;
If you think you’re postictal, here are a few Postictal symptoms.
Symptoms of the Postictal Stage
The types and severity of symptoms depend largely on the part of the brain involved and how long the seizure lasted. Postictal symptoms can include changes in behavior, thinking, mood, and motor function, such as: 1
- Memory loss
- Mental confusion or fogginess
- Weakness in part of all of the body
- A strong urge to urinate
- Difficulty walking
- Speech or writing impairment
Other states of a seizure include:
- Ictal period refers to the actual seizure or stroke. The word originates from the Latin word ictus, meaning a blow or a stroke.
- Pre-ictal refers to the state immediately before the actual seizure or stroke.
- Post-ictal refers to the state shortly after the event.
- Interictal refers to the period between seizures that are characteristic of an epilepsy disorder. For most people with epilepsy, the interictal state takes up the majority of their lives. Neurologists use this period when diagnosing epilepsy since an electroencephalography (EEG) trace will often show small interictal spiking and other abnormalities known by neurologists as subclinical seizures.
- Peri-ictal encompasses pre-ictal, ictal and post-ictal.
Postictal Symptoms Significance
Postictal symptoms can sometimes help doctors determine the focus of the seizure—that is, where in the brain the seizure activity started.
Some examples of this include:
- Postictal dysphasia: Characterized by difficulty speaking, this suggests the seizure originated in your dominant hemisphere. In a right-handed person, that would be the left half of the brain.
- Postictal paralysis: Temporary weakness of a hand or limb is associated with the side of the body opposite from the seizure focus in the brain.
- Postictal automatisms: Repetitive actions such as lip-smacking and nose rubbing are a common sign of complex partial seizures, which frequently arise in the temporal lobe.
Postictal state is an abnormal condition in the foot for a while when the seizure decreases and the patient returns to the baseline.
Postictal dysphasia: Characterized by difficulty speaking, this indicates that the seizure originates from your dominant hemisphere. In a right-handed person, this is the left half of the brain. Read more
A priority for the client in the postictal phase (after a seizure) is to assess the client's breathing pattern for effective rate, rhythm, and depth. The nurse should apply oxygen and ventilation to the client as appropriate.
Postictal delirium typically lasts for hours but may continue up to 1 to 2 days. It is usually of the hypoactive type, but some may evolve to hyperactive type.
The pain of a postictal headache is widespread. It can be steady or throbbing and its intensity can range from mild to severe. These headaches usually last between about 6 and 24 hours, or sometimes even longer.
Some people recover quickly from a tonic clonic seizure but often they will be very tired, want to sleep and may not feel back to normal for several hours or sometimes days. Most people's seizures will stop on their own and the person will not need any medical help.
Most, but not all, deaths occur during or right after a seizure. The exact cause of these deaths is unknown, yet researchers believe an extended pause in breathing leads to less oxygen in the blood and suffocation.