Q. Can laughing fits preceding panic attack be gelastic seizure?

Answered by
Dr. Aida Quka
and medically reviewed by Dr. Vinodhini. J
Published on Jan 09, 2020

Hello doctor,

An 18-year-old female lying in bed with no stimulus like TV and has a laughing fit. She cannot stop laughing, then could not breathe, so she had a panic attack and began crying. She has had similar situations about once per year for the last four to five years. Can this be a gelastic seizure? She is underinsured and would like to do nothing, but if it is likely something dangerous causing it she will have to see someone.

Medications: Depo shot q three months for birth control, Vyvanse (Lisdexamfetamine) for ADHD taken in the past sometimes prescribed as high as 90 mg per day. She is not taking now as she has graduated high school and does not think she needs it when not in school.

Dr. Aida Quka

Neurology
#

Hello,

Welcome to icliniq.com.

I would like to know if she has strange behavior during all the time, fluctuations in her mood, sometimes cries and sometimes feels euphoric? If she stays alone time after time feeling depressive and other times trying to attract the other's attention, being euphoric and impulsive?

In such a case, I would think about a psychiatric disorder. Otherwise, I would recommend performing an EEG (electroencephalogram) in order to exclude possible elastic seizures. A brain MRI (magnetic resonance imaging) would be necessary too.

I hope this helps.


Was this answer helpful?

 | 

Thank you doctor,

Is it elastic seizures? EEG will not show a gelastic seizure unless it is happening right then, is it correct?

Dr. Aida Quka

Neurology
#

Hello,

Welcome back to icliniq.com.

I am sorry for the writing error, I meant gelastic seizures.

You should know that gelastic seizures usually have normal EEG in the early stages but later, the EEG shows many types of abnormalities, even in the absence of seizures during recording (interictal EEG).

Anyway, gelastic seizures are more common in children. They are related to brain malformations since birth, which can be detected in the brain MRI. That is why I recommended a brain MRI. On the other hand, seizures are not triggered by watching TV. Vyvanse can cause this clinical situation as a potential adverse effect. You should discuss with her doctor about the above issues.

I hope this helps.


Was this answer helpful?

 | 

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


I suffer from panic attack, anxiety, and fear of brain tumour even after doctors consultation. Why?

Query: Hello doctor, I am a 27-year-old male. My weight is 255 lb, and I am a smoker. I suffer from panic attack, anxiety, and fear of cancer for six years. Right now I have been spending all my day reading about brain tumor because I think I have it since I have all the symptoms. Two weeks ago I had a pan...  Read Full »

What Is The Treatment For Coughing Fits And Severe Tonsillitis?

Query: Hi doctor, I am a 18 year old female, who is suffering from coughing fits and severe tonsillitis. The coughing fits only come when I am lying down, and I bring up mucus which kills my throat.  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.