A woman with a past medical history of epilepsy was transferred to our hospital for episodic changes in mental status, jerking movements, and decreased hearing that were thought to represent seizure activity. While in the hospital, she was diagnosed with Brugada syndrome. Her antiepileptic medications were adjusted while she was…
HMG-CoA reductase inhibitors (“statins”) are the most commonly prescribed lipid lowering agents. Most of the statins are metabolized by the CYP450 cytochrome system. A number of medications either induce or inhibit this system which leads to changes in the bioavailability of the statins and the potential for either an increase…
Pseudoseizures, historically described as hysterical seizures, closely resemble epileptic attacks. However, they lack the abnormal paroxysmal electrical discharges from the brain seen in epilepsy. Pseudoseizures may represent a dissociative coping mechanism in which anxiety is reduced by the appearance of the pseudoseizure. Psychotherapy is the mainstay of treatment for pseudoseizures….
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