

Whether the resolution of the postictal state requires the resolution of all the inhibitory processes is a question yet to be answered. The duration of the postictal state depends on how different mechanisms associated with seizure termination interact with each other. Other postictal symptoms include postictal coughing, spitting, hypersalivation, nose-wiping, psychosis, and mania. Automatism is a phenomenon that can be seen both during ictal and postictal states. It points to seizure onset in the contralateral hemisphere. Postictal motor weakness (Todd paresis) has a lateralizing value. The memory is affected in such a way that 30% of the patients do not remember any seizure, and only a quarter remember all of their seizures.

The duration of such impairment depends on the preictal cognitive deficit (higher with the higher pre-ictal deficit). Patients with left temporal lobe epilepsy develop a more prominent verbal memory deficit in the postictal period while those with right temporal lobe epilepsy suffer from visual memory deficit. A postictal hemiparesis points to contralateral seizure onset.ĭifferent neurological functions are affected by the inhibitory processes in the postictal period. An ictal speech arrest followed by an immediate postictal return of speech points to nondominant hemisphere seizure onset. The practical implication of the postictal state is when it is safe for the patient to return to activity without risking his/her or other's safety. In absence seizures, focal seizures with impaired awareness, and myoclonic seizures, it is harder to distinguish ictal from the postictal state. It is easier to determine the end of the seizure and the beginning of the postictal state for a generalized tonic-clonic or a generalized tonic seizure. The difficulty of distinguishing ictal from the postictal period may depend on the type of seizure. Marking the termination of a seizure and the return to baseline is straightforward only in a limited number of cases. Send us feedback about these examples.The postictal state is an abnormal condition that lasts for a period that begins when a seizure subsides and ends when the patient returns to baseline. These examples are programmatically compiled from various online sources to illustrate current usage of the word 'phenomenal.' Any opinions expressed in the examples do not represent those of Merriam-Webster or its editors. The Indianapolis Star, Just seeing the game through their eyes and their perspective was phenomenal.
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