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Escalas en Neurología - Sociedade Galega de Neuroloxia

Escalas en Neurología - Sociedade Galega de Neuroloxia

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14-ESCALAS (293-309) 3/6/08 12:11 Página 296<br />

R. SÁIZ DÍAZ, P. PEÑA, F. BERMEJO PAREJA<br />

Escala 92. CUESTIONARIO PARA EL DIAGNÓSTICO CLÍNICO DE CRISIS EPILÉPTICAS<br />

DE REUTEN Y COLS.<br />

I. How many differ<strong>en</strong>t types of seizures do you think you have?<br />

II. Please <strong>de</strong>scribe what happ<strong>en</strong>s in each type of seizure.<br />

III. Do you have blank spells or spells in which you «switch off or go off the airwaves».<br />

IV. Do you have spells in which you twitch or jerk, especially just after waking up?<br />

For each seizure type:<br />

1.0 Do the seizures follow each other in a particular pattern? Describe the pattern.<br />

2.0 Do you have any warning before seizures occur?<br />

Describe the warning.<br />

2.1 If Yes to 2.0: How long does the warning last?<br />

2.2 Does the warning ever occur on its own?<br />

3.0 Do you «go blank» or lose awar<strong>en</strong>ess or your surroundings during the seizure?<br />

3.1 If Yes to 3.0: For how long are you blank or «out of it».<br />

3.2 Do you go completely blank (out of it altogether) or retrain some awar<strong>en</strong>ess of your<br />

surroundings.<br />

3.3 Do you stop what you are doing or continue on automatically «like a robot»?<br />

4.0 If No to 3.0: Without losing consciousness, have your legs giv<strong>en</strong> way?<br />

4.1 Without losing consciousness, have you dropped to ground?<br />

4.2 Without losing consciousness, have your arms dropped or sagged?<br />

4.3 Without losing consciousness, have you dropped objects?<br />

4.4 Without losing consciousness, does your head drop or sag?<br />

5.0 During a seizure, do you experi<strong>en</strong>ce emotional changes or flashbacks? Describe them.<br />

5.1 During a seizure, do you experi<strong>en</strong>ce a feeling of being in a dream or in an unusually<br />

strange or familiar place? Describe the feeling.<br />

5.2 If Yes to 5.0: During a seizure do you experi<strong>en</strong>ce int<strong>en</strong>se fear?<br />

During a seizure do you experi<strong>en</strong>ce rage or anger?<br />

During a seizure do you experi<strong>en</strong>ce euphoria, happiness, or pleasure?<br />

5.3 If Yes to 5.2: How long do the emotional changes last?<br />

5.4 If Yes to 5.0: During a seizure do you experi<strong>en</strong>ce flashbacks or memories of past ev<strong>en</strong>ts<br />

(as though you are reliving the past)?<br />

6.0 During a seizure do you see or hear things that ar<strong>en</strong>’t real? Describe the hallucination.<br />

6.1 If Yes to 6.0: Indicate type of hallucination (visual/auditory).<br />

6.2 How long do the hallucinations last?<br />

7.0 During a seizure do you experi<strong>en</strong>ce any unusual smells or tastes? Describe the smells or<br />

tastes.<br />

7.1 If Yes to 7.0: Indicate type of hallucinations (olfactory/gustatory).<br />

7.2 How long do these hallucinations last?<br />

8.0 During a seizure do you notice any pins and needles, electric shocks, tingling, or other<br />

changes in s<strong>en</strong>sation? Describe the s<strong>en</strong>sations.<br />

8.1 If Yes to 8.0: Where does the change in s<strong>en</strong>sation start and how does it spread?<br />

8.2 How long does the change in s<strong>en</strong>sation last?<br />

9.0 During a seizure do objects or sounds in the room appear distorted or altered? For example,<br />

do sounds seem nearer or farther away objects seem shrunk<strong>en</strong> or magnifed? Describe<br />

the changes.<br />

9.1 If Yes to 9.0: Indicate if auditory or visual.<br />

9.2 How long does it last?<br />

10.0 During a seizure do you feel that everything is in slow motion or speed up? Describe the<br />

feeling.<br />

11.0 During a seizure do you experi<strong>en</strong>ce a funny feeling in your tummy?<br />

12.0 During a seizure do you experi<strong>en</strong>ce mouth watering or drooling?<br />

� 296 �<br />

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