04/07/2025
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ده م طفل بضحك مع امو
دي تشنجات ....ف خلي بالك
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What Is a Gelastic Seizure?
💢A gelastic seizure is a rare type of seizure that involves sudden, involuntary bouts of laughter. This laughter often sounds unnatural, hollow, or mechanical, and it happens without any emotional trigger. The person may appear confused or have no awareness that they are laughing.
💢The term comes from the Greek word “gelos”, meaning laughter.
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♻️Symptoms
♦️Sudden episodes of laughter without any obvious cause
♦️Laughter that doesn’t feel joyful or appropriate
♦️Blank stare or dazed expression during the seizure
♦️Confusion, dizziness, or headache after the episode
♦️May be followed by other seizure types, such as tonic-clonic seizures
♦️In children, may be mistaken for behavioral issues or emotional disturbances
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♻️Common Causes
♦️The most well-known cause of gelastic seizures is a hypothalamic hamartoma. This is a rare, benign tumor or malformation in the hypothalamus, a part of the brain involved in hormone production and emotional regulation.
♦️Other less common causes include:
✔️Lesions or scarring in the temporal or frontal lobes of the brain
✔️Genetic disorders like tuberous sclerosis
✔️Brain malformations present at birth
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♻️Who Gets Gelastic Seizures?
♦️These seizures typically begin in early childhood, but they can also appear in adolescence or adulthood. Both males and females can be affected.
♦️Often, it takes years to get an accurate diagnosis because the symptoms may resemble laughter, tics, or behavioral disorders.
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♻️Diagnosis
⏩️Electroencephalogram (EEG): Records electrical activity in the brain and can detect seizure patterns.
⏩️MRI Scan: Can show abnormalities in the hypothalamus or other brain regions.
⏩️Clinical history: A neurologist may rely heavily on eyewitness reports and video recordings of the episodes.
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♻️Treatment
♦️Medications: Anti-epileptic drugs like carbamazepine, oxcarbazepine, or valproate are often tried first.
♦️However, gelastic seizures caused by hypothalamic hamartomas often don’t respond well to medication alone.
♦️Surgery: In cases caused by a hypothalamic hamartoma, surgical options such as laser ablation or stereotactic surgery may be effective.
♦️Vagus Nerve Stimulation (VNS): A device implanted in the chest that helps reduce seizure frequency.
♦️Ketogenic diet: Sometimes used in children when medications fail.
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♻️Prognosis
♦️If untreated, gelastic seizures can become more frequent and lead to cognitive decline, behavioral problems, and progressive epilepsy. Early diagnosis and proper management are crucial. When treated effectively—especially in cases where surgery is an option—many patients experience a significant reduction or complete cessation of seizures.
⚠️ م تنسي تخفظ البوست وتشيرو عندك عشان تستفيد
⚠️المتابعه كل جديد الرجاء الانضمام إلى قناه " دكتور ماجد المبشر
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