Podcasts about seizures

Dr. Halley Alexander and Dr. Abel Sandmann discuss seizure rates and risk factors in patients with cerebral cavernous malformations (CCMs) during long-term follow-up without CCM intervention.  Show citation:  Sandmann ACA, Vandertop WP, White PM, Verbaan D, Coutinho JM, Al-Shahi Salman R. Seizures and Epilepsy in Patients With Untreated Cerebral Cavernous Malformations: A Prospective, Population-Based Cohort Study. Neurology. 2025;105(11):e214387. doi:10.1212/WNL.0000000000214387  Show transcript:  Dr. Halley Alexander: Hi, this is Halley Alexander with today's Neurology Minute. I'm here with Abel Sandmann from Amsterdam University Medical Center, and we just finished recording a full-length podcast about some exciting findings related to cerebral cavernous malformations and the risk of seizures and epilepsy. Abel, can you give our listeners a rundown of the most exciting findings and how it can change practice? Dr. Abel Sandmann:  In our paper, we show that patients with a cerebral cavernous malformation who have a first unprovoked seizure should be diagnosed with epilepsy and considered for anti-seizure medication, as most of them achieve long-term seizure freedom with medical therapy alone. These findings are based on a prospective population-based cohort study in which we analyze long-term follow-up and assess the rates and risk factors for: one, a first-ever epileptic seizure; two, seizure recurrence to evaluate the updated ILAE definition of epilepsy; and three, seizure freedom over two years and five years among patients with epilepsy. We found that among patients who had never experienced a seizure before, the 10-year risk of a first-ever seizure was only 6%. This supports current recommendations against prophylactic anti-seizure medication in patients who are incidentally diagnosed with a cerebral cavernous malformation. However, following a first unprovoked seizure, the 10-year risk of recurrence was 80%, which exceeds the 60% threshold defined by the ILAE. This justifies diagnosing epilepsy after the first and provoked seizure in this population. Given that the risk of recurrence was lower in patients treated with anti-seizure medication after the first seizure, this supports early initiation of therapy, although these treatment analyses were non-randomized and should be interpreted cautiously. Most patients who met the definition of epilepsy became two year and five years seizure-free with medical management alone. But some patients with cerebral cavernous malformations develop medically intractable seizures and might benefit from surgical treatments. Dr. Halley Alexander: Excellent. Thank you so much, Abel. You can find the full-length podcast, which is available now on the Neurology Podcast, or you can also find the full article in Neurology at neurology.org, or in the December 2025 print issue. As always, thanks for tuning in for today's Neurology Minute.   

Dr. Halley Alexander talks with Dr. Abel Sandmann about seizure rates and risk factors in patients with cerebral cavernous malformations (CCMs) during long-term follow-up without CCM intervention.  Read the related article in Neurology®.  Disclosures can be found at Neurology.org. 

Author and theologian Dr. Joel Muddamalle joins us to talk about spiritual warfare, trusting God in uncertainty, and the deeper story Scripture tells about the unseen battle.    Joel shares two powerful “hope stories” from his own life—walking through fear when his missionary grandfather was kidnapped overseas and when his young son suffered from seizures—moments that taught him to trust the Lord when life feels out of control.    Drawing from his book The Unseen Battle, Joel offers a clear, biblical overview of spiritual warfare and how the entire story of the Bible points to a loving Father restoring His family. This is an insightful and encouraging conversation about God being our refuge and Christ's victory of dark powers.   Subscribe to the podcast and tune in each week as Haley and Dustin share with you what the Bible says about real-life issues with compassion, warmth, and wit.   So you have every reason for hope, for every challenge in life. Because hope means everything.   Hope Talks is a podcast of the ministry of Hope for the Heart.   Listen in to learn more : [0:03:08] Hope in Crisis: From Kidnapping and Seizures to Dependence on God [0:07:37] Prayer as Warfare: How Heaven Responds When We Humble Ourselves [0:13:02] The Bible's Through Line: A Good Father Reuniting His Family [0:25:33] Why Scripture Matters: From Ancient Myths to a God Who Comes Near [0:38:11] The Three Rebellions: Seeing Evil, Division, and Christ's Cosmic Victory   Dr. Joel Muddamalle Resources Get Joel's book, The Unseen Battle: https://www.muddamalle.com/theunseenbattle    Learn more about Dr. Joel Muddamalle: https://www.muddamalle.com/    Connect with Joel on Instagram: https://www.instagram.com/muddamalle/  Check out Joel's YouTube channel, Humble Theology: https://www.youtube.com/@Muddamalle    Read Joel's Substack, Humble Theology – https://humbletheology.muddamalle.com/    Hope for the Heart resources Order our newest resource, The Care and Counsel Handbook, providing biblical guidance  100 real-life issues: https://resource.hopefortheheart.org/care-and-counsel-handbook Other Hope for the Heart Resources Facebook: https://www.facebook.com/hopefortheheart   Instagram: https://www.instagram.com/hopefortheheart    Want to talk with June Hunt on Hope in the Night about a difficult life issue? Schedule a time here: https://resource.hopefortheheart.org/talk-with-june-hope-in-the-night   God's plan for you: https://www.hopefortheheart.org/gods-plan-for-you/   Give to the ministry of Hope for the Heart: https://raisedonors.com/hopefortheheart/givehope?sc=HTPDON 

Have you ever wondered what it would take to go from burned-out corporate climber to grounded, present mom — not because life got easier, but because you finally learned to regulate yourself through the hard stuff?In this episode, I sit down with Michelle Hooey, life coach and author of The Goldie Effect, who shares how her signature 15-Minute Rewrite method was born in the most unlikely place: a hospital room. Michelle opens up about her daughter Goldie, navigating life with a child with "special rights" (we're making the switch to this term and we're not looking back!), and how nervous system regulation for parents isn't just a personal practice — it's what holds your marriage, your identity, and your sanity together when everything is on the line.If you've ever felt like you have nothing left to give, tune in!In this episode, we cover:(00:00) Intro(01:15) Who was Michelle Hooey before?(03:25) Five pregnancy losses and the invisible toll on her body and marriage(04:33) How Frankie's celiac diagnosis accidentally uncovered Michelle's own — and led to Goldie(07:19) Goldie's emergency birth at 33 weeks(11:20) Seizures, five months in the NICU, and learning to survive in uncertainty(17:20) How Michelle started protecting her nervous system in 15-minute pockets of time(18:36) Living without a diagnosis: navigating systems, insurance, and the world with a medically complex child(26:00) The "special rights" movement — and why it needs to come to Canada(28:39) The 15-Minute Rewrite explained: regulate, reflect, reclaim(37:39) How their marriage survived — couples therapy, staggered breakdowns, and hard conversations(43:46) The resentment that came to a head(53:10) The Goldie Effect: Michelle's memoir-meets-self-help book, out March 6th, 2026(55:52)  How can people who don't have family members or children with special rights can be advocate(57:38) What Michelle is still trying to figure outKEY TAKEAWAYYou don't need a dramatic life overhaul to regulate your nervous system, you only need 15 intentional minutes and the willingness to ask yourself what you actually need.About Michelle HooeyMichelle Hooey is a bestselling author, speaker, and guide for women navigating real-life change. After years in corporate leadership, her life shifted with the birth of her second daughter, Goldie, who was born with complex medical needs. What followed wasn't a reinvention. It was a reckoning with capacity, identity, grief, and what it means to stay present when life no longer follows the plan. Out of that season came The Goldie Effect and the 15-Minute Rewrite, grounded ways of turning lived experience into clarity, strength, and forward movement without burning yourself out.Connect with Michelle HooeyWebsite | https://anchorlesscoaching.com/ Instagram | https://www.instagram.com/michelle_hooey Linkedin | https://www.linkedin.com/in/michelle-hooey/ Book - The Goldie Effect | https://amzn.to/46MGlvLAbout Andrea Barr, host of All Figured Out:Andrea is a certified career and life coach for parents. Through her coaching, she supports parents in finding better work-life rhythms so they can continue to grow personally and professionally without sacrificing family time.Connect with AndreaWebsite | ⁠https://www.andreabarr.com/⁠  Instagram | https://www.instagram.com/allfiguredoutandrea | https://www.instagram.com/allfiguredout.podcast Listen to All Figured Out

In the March open access episode of Chattering With International Cat Care, Yaiza Gómez-Mejías is joined by Dr Mark Lowrie to discuss his recent Clinical Spotlight Review in the Journal of Feline Medicine and Surgery on epileptic seizures in cats.Together, they explore how signalment, careful neurological examination, and thorough metabolic screening shape the diagnostic pathway. The conversation highlights common pitfalls - including interpreting postictal changes, differentiating seizures from syncope or paroxysmal dyskinesia, and deciding when advanced imaging is warranted - offering practical guidance to help clinicians approach seizuring cats with clarity and confidence.For further reading material please visit:Epileptic seizures in cats: practical approaches to diagnosisHost:Yaiza Gómez-Mejías, LdaVet MANZCVS (Medicine of Cats), RCVS CertAP (Feline Medicine), iCatCare Veterinary Community Co-ordinatorSpeaker:Mark Lowrie, MA, VetMB, MVM, DipECVN, MRCVS, Director at Movement Referrals and Specialist in Veterinary Neurology

Join Drs. Manson, Atieno and Anstine as they talk about screen time, helping your child cope with pediatrician visits and febrile seizures, along with some fun trivia and a parenting tip for the month! Topics and timestamps: Screen time: 1:45 Helping children cope with pediatrician visits: 3:31 Parenting tip: 8:18 Febrile seizures: 11:21 Trivia: 16:52 Conclusion: 18:17

This week Clarence Ford and Dr Chris discuss NASA's DART mission to defect an asteroid, why we can't tickle ourselves, whether lung capacity affects the heart, if white skin transplanted to a black person changes colour, why some people are more ticklish than others, how scientists are able to read ancient DNA codes, why the sea is salty, and what triggers seizures? Like this podcast? Please help us by supporting the Naked Scientists

This week Clarence Ford and Dr Chris discuss NASA's DART mission to defect an asteroid, why we can't tickle ourselves, whether lung capacity affects the heart, if white skin transplanted to a black person changes colour, why some people are more ticklish than others, how scientists are able to read ancient DNA codes, why the sea is salty, and what triggers seizures? Like this podcast? Please help us by supporting the Naked Scientists

Seizures are probably the most common neurological issue we see in practice, and they can be one of the most daunting conditions to nurse (and be incredibly stressful to witness).  Thankfully, though, there's lots we can do to support these patients as veterinary nurses and technicians. To do this, we need to understand a bit more about what seizures are, why they happen, the impact they have on our patients, and how they're managed - as well as the nursing care these patients need, and the skills we can use in the process. That's exactly what we're covering in episode 104 of the Medical Nursing Podcast. Join me, Laura Jones (RVN, VTS Internal Medicine) and resident neuro expert Zoe Hatfield (RVN, VTS Neurology) as we discuss exactly what you need to know to care for these patients confidently as a veterinary nurse. Settle in, make yourself comfy, and get ready to do more with your seizure patients. --- About Zoe: Zoe qualified as a registered veterinary nurse in 2012. After spending her first year as a RVN working in first opinion practice, she moved to referral joining the University of Glasgow Small Animal Hospital nursing team in 2013.  Since joining the nursing team, Zoe has developed her passion for neurology and in 2019 gained the VTS certificate in Neurology.  Working within the vet school she enjoys using her extensive experience in neurology to teach and educate students and newer members of staff.  She also presents CPD on a wide variety of neurological topics, including at BSAVA Alba, ExcelCPD, VetTrust, AIMVT and BVA Live. Watch Zoe's excelCPD webinar series here. --- More free ways to learn with me:

Bruce Chabner is a professor of medicine at Harvard Medical School and clinical director emeritus of the Massachusetts General Hospital Cancer Center. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. I.D. Goldman and B.A. Chabner. Cerebral Folate Deficiency, Autism, and the Role of Leucovorin. N Engl J Med 2026;394:833-835.

This episode starts with TikTok's updated Terms of Service, specifically the part where apps want to know where you are at all times, and quickly spirals into a much bigger question: did we accidentally sign up for the surveillance state… or was it always inevitable? Kristin and I debate privacy, inevitability, pessimism, preparedness, and whether refusing to participate actually protects you, or just makes life harder. Somewhere in there, we revisit COVID lockdown memories, the great toilet paper shortage, and why Kristin still believes in go-bags… everywhere. Then things get personal. We talk about Milo, our very large, very inbred standard poodle, and his recurring seizures. I do what every human doctor does best: Google outside my scope, panic quietly, and admit I don't know what I'm talking about when it comes to dogs. We walk through idiopathic epilepsy, toxins, brain issues, genetics, and the complicated question of when a dog actually needs lifelong seizure medication. Finally, we crack open First Aid and land on Ehlers-Danlos syndrome — collagen, hypermobility, bruising, joint issues, blood vessels, aneurysm anxiety, and what it's like to live with a genetic condition that medicine still doesn't fully understand. It's nerdy, personal, and surprisingly validating. Takeaways: Digital Privacy Isn't Theoretical: Location tracking, data collection, and why opting out isn't always realistic. Preparedness vs Panic: Go-bags, pessimism, and how couples balance very different risk tolerances. Dog Seizures Are Terrifying: Idiopathic epilepsy is common, but deciding when to treat isn't simple. Pet Insurance Confusion: Why even doctors don't know what's actually worth paying for. Ehlers-Danlos Reality: Collagen types, hypermobility, bruising, and living with a condition medicine still struggles to define. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to ⁠⁠⁠cozyearth.com⁠⁠⁠ they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

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Medical Notes: How Energy Drinks May Worsen Your Cancer, A Non-Invasive Treatment For Seizures, And How To Fight Against Procrastination  Are energy drinks making you sick? A new treatment for seizures may soon be possible without the need for invasive brain surgery. Good news for sugar addicts! Scientists have created a healthier sweetener using Tagatose. How to fight against procrastination.Host: Maayan Voss de Bettancourt Producer: Kristen Farrah Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

We here at Talk About It are so excited about our expansion into helping raise awareness for conditions that are related to epilepsy. One of the conditions at the top of our list is autism spectrum disorder. Did you know that approximately 25-30% of children with ASD will develop epilepsy in their lifetime? But not only are these conditions medically correlated, they also share similarities when it comes to bullying, stigma, job prospects, dating, and everyday life experience. That means, of course, we need to TALK ABOUT IT! Greg sits down in studio with his good friend Holly Robinson Peete, an actress who has lit up our screen since her breakout role in 21 Jump Street in 1987 and has gone on to star in so many of our favorite movies and shows. Together with her husband, former NFL quarterback and Heisman trophy candidate Rodney Peete, they started the HollyRod Foundation to help families battling a Parkinson's diagnosis, but expanded into autism after their eldest son RJ, a twin, was diagnosed with autism spectrum disorder. The foundation helps to provide medical, financial, and emotional support for families affected by these conditions.  With the guidance and support of his amazing parents, RJ has defied the odds to overcome all of the "nevers" - never saying he loves them, never getting a quality education, never being able to socialize, never being able to hold a job - a stigma that still plagues families dealing with this disorder, and increasingly being mainstreamed by people in power. RJ now is a clubhouse attendant for the Los Angeles Dodgers, and an integral part of their team's family dynamic. Holly and Greg discuss his role on the team, the bullying that their family went through, dating on the spectrum, and the importance of job placement for those with spectrum disorders. This is such a heartwarming episode and you will learn so much! Don't miss it! Talk About It with Greg Grunberg is excited to be sponsored by Neurelis and by Jazz Pharmaceuticals.

Sit... Stay... Talk about it! This incredible episode is all about our very best friends, and the most adorable heroes of the epilepsy community, dogs! Greg chats with Katie Gonzalez, founder of Little Angels Service Dogs. LASD is a nonprofit that trains incredible canine candidates and passes the graduates on to families in need of a service dog for so many medical conditions, from seizure alert to autism help, mobility assistance, diabetes, stress and anxiety disorders, and so many more.  In this part 1 (part 2 is coming soon where Greg will go to the center and see the training in action), they talk about the dogs' incredible ability to detect an oncoming seizure by smelling chemical changes in a person's body. Katie has not only dedicated her life to training these incredible animals, but also to the science behind these chemical changes and how dogs can detect it. She even wrote the book - literally - on training your service dog based on this research!  Plus, Greg asks general questions about best practices when it comes to our good boys and good girls, and Greg and Nick battle over who has the cuter dog. Do not miss this episode, otherwise you won't get your treat! Talk About It with Greg Grunberg is excited to be sponsored by Neurelis and by Jazz Pharmaceuticals.

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Former ER nurse Aly Hayon shares her journey through seizures, medical gaslighting, and profound healing using ketogenic and lifestyle interventions. She now challenges the sick-care system, empowers patients and nurses, and calls for real reform, root-cause care, and freedom today...

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Former ER nurse Aly Hayon shares her journey through seizures, medical gaslighting, and profound healing using ketogenic and lifestyle interventions. She now challenges the sick-care system, empowers patients and nurses, and calls for real reform, root-cause care, and freedom today...

Medical Notes: The Shocking Veteran Suicide Trends, The Best Time To Induce Labor, And The Mental Health Of College StudentsThe tides may finally be turning on veteran suicide. A new treatment for seizures may soon be possible without the need for invasive brain surgery. When it comes to inducing labor, success may be all in the timing. The stigma surrounding mental health on campus is fading. Host: Maayan Voss de Bettancourt  Producer: Kristen Farrah Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Derek shares a raw, unforgettable sobriety story: growing up in a chaotic home, learning early that alcohol was “dangerous,” and still getting pulled into a cycle of binge drinking, DUIs, and arrests. He opens up about the restaurant industry drinking culture, people-pleasing, shame, and how secrecy (“what happens in this house stays in this house”) fueled isolation. Eventually, alcohol dependence escalated to 25–30 beers per day, severe withdrawal, grand mal seizures, and DTs, leading to hospitalization and a medically critical turning point. Learn how he turns it all around. We also talk about Derek's book The Dog Bowl—a fictional story built from real addiction pain and real recovery truth. ---------- Derek On IG: https://www.instagram.com/dpaquette1/  

This week's episode of Sue's Healthy Minutes Podcast is a powerful and exciting follow-up to last week's story of a child with seizures and a child with brittle bones. Sue Becker had the privilege of speaking with their mother, Kayleah, who has graciously shared their incredible journey and how Real Bread has brought hope and healing to her children's lives. This episode is surely one that will move your heart and bring tears of joy! Topics mentioned in this episode: Seizures, Osteogenesis Imperfecta (Brittle Bone Disease), strep LISTEN NOW and SUBSCRIBE to this podcast here or from any podcasting platform such as, Apple Podcasts, YouTube, Spotify, Alexa, Siri, or anywhere podcasts are played. For more information on the Scientific and Biblical benefits of REAL bread - made from freshly-milled grain, visit our website, breadbeckers.com. Also, watch our video, Only Real Bread - Staff of Life, https://youtu.be/43s0MWGrlT8. Learn more about the why and how to bake with freshly-milled flour, with the very informative Essential Home-Ground Flour Book, by Sue Becker, https://bit.ly/essentialhomegroundflourbook. If you have an It's the Bread Story that you'd like to share, email us at podcast@breadbeckers.com. We'd love to hear from you! Visit our website at https://www.breadbeckers.com/ Follow us on Facebook @thebreadbeckers and Instagram @breadbeckers. *DISCLAIMER: Nothing in this podcast or on our website should be construed as medical advice. Consult your health care provider for your individual nutritional and medical needs. The information presented is based on our research and is strictly that of the author and not necessarily those of any professional group or other individuals. #seizures #osteogenesisimperfecta #brittlebonedisease #strep

Psychogenic nonepileptic seizures (PNES) are common, often misunderstood, and increasingly encountered in pediatric emergency care. These events closely resemble epileptic seizures but arise from abnormal brain network functioning rather than epileptiform activity. In this episode of PEM Currents, we review the epidemiology, pathophysiology, and clinical features of PNES in children and adolescents, with a practical focus on Emergency Department recognition, diagnostic strategy, and management. Particular emphasis is placed on seizure semiology, avoiding iatrogenic harm, communicating the diagnosis compassionately, and understanding how early identification and referral to cognitive behavioral therapy can dramatically improve long-term outcomes. Learning Objectives Identify key epidemiologic trends, risk factors, and semiological features that help differentiate psychogenic nonepileptic seizures from epileptic seizures in pediatric patients presenting to the Emergency Department. Apply an evidence-based Emergency Department approach to the evaluation and initial management of suspected PNES, including strategies to avoid unnecessary escalation of care and medication exposure. Demonstrate effective, patient- and family-centered communication techniques for explaining the diagnosis of PNES and facilitating timely referral to appropriate outpatient therapy. References Sawchuk T, Buchhalter J, Senft B. Psychogenic Nonepileptic Seizures in Children-Prospective Validation of a Clinical Care Pathway & Risk Factors for Treatment Outcome. Epilepsy & Behavior. 2020;105:106971. (PMID: 32126506) Fredwall M, Terry D, Enciso L, et al. Outcomes of Children and Adolescents 1 Year After Being Seen in a Multidisciplinary Psychogenic Nonepileptic Seizures Clinic. Epilepsia. 2021;62(10):2528-2538. (PMID: 34339046) Sawchuk T, Buchhalter J. Psychogenic Nonepileptic Seizures in Children - Psychological Presentation, Treatment, and Short-Term Outcomes. Epilepsy & Behavior. 2015;52(Pt A):49-56. (PMID: 26409129) Labudda K, Frauenheim M, Miller I, et al. Outcome of CBT-based Multimodal Psychotherapy in Patients With Psychogenic Nonepileptic Seizures: A Prospective Naturalistic Study. Epilepsy & Behavior. 2020;106:107029. (PMID: 32213454) Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we are talking about psychogenic non-epileptic seizures, or PNES. Now, this is a diagnosis that often creates a lot of uncertainty in the Emergency Department. These episodes can be very scary for families and caregivers and schools. And if we mishandle the diagnosis, it can lead to unnecessary testing, medication exposure, ICU admissions, and long-term harm. This episode's gonna focus on how to recognize PNES in pediatric patients, how we make the diagnosis, what the evidence says about management and outcomes, and how what we do and what we say in the Emergency Department directly affects patients, families, and prognosis. Psychogenic non-epileptic seizures are paroxysmal events that resemble epileptic seizures but occur without epileptiform EEG activity. They're now best understood as a subtype of functional neurological symptom disorder, specifically functional or dissociative seizures. Historically, these events were commonly referred to as pseudo-seizures, and that term still comes up frequently in the ED, in documentation, and sometimes from families themselves. The problem is that pseudo implies false, fake, or voluntary, and that implication is incorrect and harmful. These episodes are real, involuntary, and distressing, even though they're not epileptic. Preferred terminology includes psychogenic non-epileptic seizures, or PNES, functional seizures, or dissociative seizures. And PNES is not a diagnosis of exclusion, and it does not require identification of psychological trauma or psychiatric disease. The diagnosis is based on positive clinical features, ideally supported by video-EEG, and management begins with clear, compassionate communication. The overall incidence of PNES shows a clear increase over time, particularly from the late 1990s through the mid-2010s. This probably reflects improved recognition and access to diagnostic services, though a true increase in occurrence can't be excluded. Comorbidity with epilepsy is really common and clinically important. Fourteen to forty-six percent of pediatric patients with PNES also have epilepsy, which frequently complicates diagnosis and contributes to diagnostic delay. Teenagers account for the highest proportion of patients with PNES, especially 15- to 19-year-olds. Surprisingly, kids under six are about one fourth of all cases, so it's not just teenagers. We often make the diagnosis of PNES in epilepsy monitoring units. So among children undergoing video-EEG, about 15 to 19 percent may ultimately be diagnosed with PNES. And paroxysmal non-epileptic events in tertiary epilepsy monitoring units account for about 15 percent of all monitored patients. Okay, but what is PNES? Well, it's best understood as a disorder of abnormal brain network functioning. It's not structural disease. The core mechanisms at play include altered attention and expectation, impaired integration of motor control and awareness, and dissociation during events. So the patients are not necessarily aware that this is happening. Psychological and psychosocial features are common but not required for diagnosis and may be less prevalent in pediatric populations as compared with adults. So PNES is a brain-based disorder. It's not conscious behavior, it's not malingering, and it's not under voluntary control. Children and adolescents with PNES have much higher rates of psychiatric comorbidities and psychosocial stressors compared to both healthy controls and children with epilepsy alone. Psychiatric disorders are present in about 40 percent of pediatric PNES patients, both before and after the diagnosis. Anxiety is seen in 58 percent, depression in 31 percent, and ADHD in 35 percent. Compared to kids with epilepsy, the risk of psychiatric disorders in PNES is nearly double. Compared to healthy controls, it is up to eight times higher. And there's a distinct somatopsychiatric profile that strongly predicts diagnosis of PNES. This includes multiple medical complaints, psychiatric symptoms, high anxiety sensitivity, and solitary emotional coping. This profile, if you've got all four of them, carries an odds ratio of 15 for PNES. Comorbid epilepsy occurs in 14 to 23 percent of pediatric PNES cases, and it's associated with intellectual disability and prolonged diagnostic delay. And finally, across all demographic strata, anxiety is the most consistent predictor of PNES. Making the diagnosis is really hard. It really depends on a careful history and detailed analysis of the events. There's no single feature that helps us make the diagnosis. So some of the features of the spells or events that have high specificity for PNES include long duration, so typically greater than three minutes, fluctuating or asynchronous limb movements, pelvic thrusting or side-to-side head movements, ictal eye closure, often with resisted eyelid opening, ictal crying or vocalization, recall of ictal events, and rare association with injury. Younger children often present with unresponsiveness. Adolescents more commonly demonstrate prominent motor symptoms. In pediatric cohorts, we most frequently see rhythmic motor activity in about 27 percent, and complex motor movements and dialeptic events in approximately 18 percent each. Features that argue against PNES include sustained cyanosis with hypoxia, true lateral tongue biting, stereotyped events that are identical each time, clear postictal confusion or lethargy, and obviously epileptic EEG changes during the events themselves. Now there are some additional historical and contextual clues that can help us make the diagnosis as well. If the events occur in the presence of others, if they occur during stressful situations, if there are psychosocial stressors or trauma history, a lack of response to antiepileptic drugs, or the absence of postictal confusion, this may suggest PNES. Lower socioeconomic status, Medicaid insurance, homelessness, and substance use are also associated with PNES risk. While some of these features increase suspicion, again, video-EEG remains the diagnostic gold standard. We do not have video-EEG in the ED. But during monitoring, typical events are ideally captured and epileptiform activity is not seen on the EEG recording. Video-EEG is not feasible for every single diagnosis. You can make a probable PNES diagnosis with a very accurate clinical history, a vivid description of the signs and appearance of the events, and reassuring interictal EEG findings. Normal labs and normal imaging do not make the diagnosis. Psychiatric comorbidities are not required. The diagnosis, again, rests on positive clinical features. If the patient can't be placed on video-EEG in a monitoring unit, and if they have an EEG in between events and it's normal, that can be supportive as well. So what if you have a patient with PNES in the Emergency Department? Step one, stabilize airway, breathing, circulation. Take care of the patient in front of you and keep them safe. Use seizure pads and precautions and keep them from falling off the bed or accidentally injuring themselves. A family member or another team member can help with this. Avoid reflexively escalating. If you are witnessing a PNES event in front of you, and if they're protecting their airway, oxygenating, and hemodynamically stable, avoid repeated benzodiazepines. Avoid intubating them unless clearly indicated, and avoid reflexively loading them with antiseizure medications such as levetiracetam or valproic acid. Take a focused history. You've gotta find out if they have a prior epilepsy diagnosis. Have they had EEGs before? What triggered today's event? Do they have a psychiatric history? Does the patient have school stressors or family conflict? And then is there any recent illness or injury? Only order labs and imaging when clinically indicated. EEG is not widely available in the Emergency Department. We definitely shouldn't say things like, “this isn't a real seizure,” or use outdated terms like pseudo-seizure. Don't say it's all psychological, and please do not imply that the patient is faking. If you see a patient and you think it's PNES, you're smart, you're probably right, but don't promise diagnostic certainty at first presentation. Remember, a sizable proportion of these patients actually do have epilepsy, and referring them to neurology and getting definitive testing can really help clarify the diagnosis. Communication errors, especially early on, worsen outcomes. One of the most difficult things is actually explaining what's going on to families and caregivers. So here's a suggestion. You could say something like: “What your child is experiencing looks like a seizure, but it's not caused by abnormal electrical activity in the brain. Instead, it's what we call a functional seizure, where the brain temporarily loses control of movement and awareness. These episodes are real and involuntary. The good news is that this condition is treatable, especially when we address it early.” The core treatment of PNES is CBT-based psychotherapy, or cognitive behavioral therapy. That's the standard of care. Typical treatment involves 12 to 14 sessions focused on identifying triggers, modifying maladaptive cognitions, and building coping strategies. Almost two thirds of patients achieve full remission with treatment. About a quarter achieve partial remission. Combined improvement rates reach up to 90 percent at 12 months. Additional issues that neurologists, psychologists, and psychiatrists often face include safe tapering of antiseizure medications when epilepsy has been excluded, treatment of comorbid anxiety or depression, coordinating care between neurology and mental health professionals, and providing education for schools on event management. Schools often witness these events and call prehospital professionals who want to keep patients safe. Benzodiazepines are sometimes given, exposing patients to additional risk. This requires health system-level and outpatient collaboration. Overall, early diagnosis and treatment of PNES is critical. Connection to counseling within one month of diagnosis is the strongest predictor of remission. PNES duration longer than 12 months before treatment significantly reduces the likelihood of remission. Video-EEG confirmation alone does not predict positive outcomes. Not every patient needs admission to a video-EEG unit. Quality of communication and speed of treatment, especially CBT-based therapy, matter the most. Overall, the prognosis for most patients with PNES is actually quite favorable. There are sustained reductions in events along with improvements in mental health comorbidities. Quality of life and psychosocial functioning improve, and patients use healthcare services less frequently. So here are some take-home points about psychogenic non-epileptic seizures, or PNES. Pseudo-seizure and similar terms are outdated and misleading. Do not use them. PNES are real, involuntary, brain-based events. Diagnosis relies on positive clinical features, what the events look like and when they happen, not normal lab tests or CT scans. Early recognition and diagnosis, and rapid referral to cognitive behavioral therapy, change patients' lives. If you suspect PNES, get neurology and mental health professionals involved as soon as possible. Alright, that's all I've got for this episode. I hope you found it educational. Having seen these events many times over the years, I recognize how scary they can be for families, schools, and our prehospital colleagues. It's up to us to think in advance about how we're going to talk to patients and families and develop strategies to help children who are suffering from PNES events. If you've got feedback about this episode, send it my way. Likewise, like, rate, and review, as my teenagers would say, and share this episode with a colleague if you think it would be beneficial. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

IRS Criminal Investigation closed FY 2025 with $10.59  billion in identified financial crimes and a 60% surge in seized digital data. Justin Campbell, Acting Deputy Chief, IRS Criminal Investigation, is here to explain what fueled this record-breaking year and how CI is preparing for the next wave of financial crime.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textMorning Prayer -    A Joyful Noise To The Lord - Seizures; Addictions; Arthritis - Thankfulness #Prayer #God #Jesus #HolySpiritThank you for listening, our heart's prayer is for you and I to walk daily with Jesus, our joy and peace aimingforjesus.com YouTube Channel https://www.youtube.com/@aimingforjesus5346 Instagram https://www.instagram.com/aiming_for_jesus/ Threads https://www.threads.com/@aiming_for_jesus X https://x.com/AimingForJesus Tik Tok https://www.tiktok.com/@aiming.for.jesus

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Febrile Seizures⁠⁠ from the Neurology section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

Dr. Sarah Weatherspoon, associate chief of Pediatric Neurology at Le Bonheur Children's Hospital, discusses seizure first aid, why accurate diagnosis matters and what families should know when seizures aren't well controlled.  Learn more about Sarah Weatherspoon, MD 

In this episode of The President's Daily Brief: As Iran's regime tightens its information blackout, rare eyewitness accounts are beginning to slip through, offering a disturbing look at how Tehran is carrying out its crackdown— from targeted maiming to raids on hospitals and clinics, revealing tactics that go far beyond disputed body counts. The war on the high seas widens, with new reporting that the United States is seeking court warrants to seize dozens of additional Venezuela-linked oil tankers, signaling a major escalation in maritime pressure. The United States freezes all visa processing for seventy-five countries, including Iran, Russia, and Somalia, in a sweeping move that signals a tougher stance on immigration and national security. And in today's Back of the Brief, a new development in the Havana Syndrome mystery, as the U.S. government quietly acquires a device believed to be linked to the unexplained injuries reported by American officials. To listen to the show ad-free, become a premium member of The President's Daily Brief by visiting https://PDBPremium.com. Please remember to subscribe if you enjoyed this episode of The President's Daily Brief. YouTube: youtube.com/@presidentsdailybrief  Stash Financial: Don't Let your money sit around. Go to https://get.stash.com/PDB to see how you can receive $25 towards your first stock purchase. Mars Men: Boost energy and strength naturally with Mars Men—get 50% off for life + 3 free gifts at https://MenGoToMars.com. DeleteMe: Get 20% off your DeleteMe plan when you go to https://joindeleteme.com/PDB and use promocode PDB at checkout. Learn more about your ad choices. Visit megaphone.fm/adchoices

Paediatric seizures are common, time-critical events and they're something most of us will deal with, whether that's pre-hospital, in the emergency department, or on the ward. They make up around 1–2% of ED attendances, and about 1 in 20 children will have a seizure at some point. Most seizures self-terminate, but the longer they go on the harder they are to stop, and the higher the risk of harm. In paediatric seizures, time really matters. In this episode we take a step-by-step look at how to assess and manage a child who's seizing. We start with the fundamentals; how seizures are defined and classified, what status epilepticus actually means in practice, and why recognising it early makes such a difference. We then dig into the physiology behind seizures, exploring why early benzodiazepines work well and why delayed treatment often doesn't. Understanding what's happening at a receptor level helps make sense of when to escalate treatment and why different drugs work at different stages of a prolonged seizure. Pharmacology is a big part of this episode. We talk through first- and second-line anti-seizure medications, routes of administration, and how effective they really are. We cover the EcLiPSE and ConSEPT trials comparing levetiracetam and phenytoin, and look at newer evidence from the Ket-Mid study and what that might mean for managing refractory status and thinking about RSI. We also work through the approach to cases, pre-hospital management and in-hospital care aligned with UK and European recommendations. There's a clear focus on febrile seizures too, separating simple from complex presentations and helping you decide who needs investigating, admitting, or reassuring and discharging. As ever, the aim is to turn guidelines and evidence into something usable on the shop floor. Paediatric seizures are stressful, but with a structured approach, early treatment, and good airway management, they're absolutely manageable and we can make a real difference on outcomes. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon, Rob & James

It had real dramatic elements: a (slow) chase scene, faked locations, a literal false flag, a daring helicopter descent. But what is the broader picture of America's bid to disrupt the Venezuelan-oil network? And how will the expanding oil saga affect an already weakened regime in Cuba? Also, we ask whether Hispanic football fans might avoid the World Cup in America.Get a world of insights by subscribing to Economist Podcasts+. For more information about how to access Economist Podcasts+, please visit our FAQs page or watch our video explaining how to link your account. Hosted on Acast. See acast.com/privacy for more information.

It had real dramatic elements: a (slow) chase scene, faked locations, a literal false flag, a daring helicopter descent. But what is the broader picture of America's bid to disrupt the Venezuelan-oil network? And how will the expanding oil saga affect an already weakened regime in Cuba? Also, we ask whether Hispanic football fans might avoid the World Cup in America.Get a world of insights by subscribing to Economist Podcasts+. For more information about how to access Economist Podcasts+, please visit our FAQs page or watch our video explaining how to link your account. Hosted on Acast. See acast.com/privacy for more information.

A fatal ICE shooting in Minneapolis sparks protests, as officials challenge the Trump administration's account. TheUnited States seizes a Venezuela‑linked oil tanker flying a Russian flag, fuelling anger in Moscow and fresh fears of U.S.–Russia escalation. Saudi Arabia says Yemen's southern separatist leader fled with UAE support, deepening strains between the Gulf allies. And the twin gorillas giving hope to an endangered population. Recommended Read Birth of rare mountain gorilla twins recorded in Congo park. Find our Morning Bid podcast ⁠⁠here⁠⁠. Sign up for the Reuters Econ World newsletter ⁠⁠here⁠⁠. Listen to the Reuters Econ World podcast ⁠⁠here⁠⁠. Visit the Thomson Reuters Privacy Statement for information on our privacy and data protection practices.  You may also visit megaphone.fm/adchoices to opt out of targeted advertising. Learn more about your ad choices. Visit megaphone.fm/adchoices

Tara breaks down one of the most distorted stories in modern media. While corporate outlets scream “war” and “dictator,” the reality is far more explosive—and far more legal.

Predict seizures hours before they hit—from your couch.  Remote neurology is here. And it's changing everything.Israeli scientist Orin Shriki, PhD, co-founded NeuroHelp to make "remote neurology" real. Their AI headband reads brainwaves while you sleep, predicting seizures with zero hospital visits. How it works: ✅ Non-invasive EEG tracks brain activity ✅ AI processes thousands of signals in real-time ✅ Learns YOUR brain baseline—catches deviations early ✅ Detects neurological disorders before symptoms showAlready used by Israeli Air Force pilots and truck drivers for fatigue monitoring. The goal? A brain thermometer in every home.Check your temperature. Now check your brain.Remote neurology will save lives.Hosted by Jennifer Weissmann | Israeli Trailblazers Showhttps://www.neuro-help.com/ #RemoteNeurology #SeizurePrediction #IsraeliInnovation https://pod.link/1585604285https://findinginspiration.substack.com/

AP Washington correspondent Sagar Meghani reports on the Trump administration looking to assert control over Venezuela's vast oil supplies.

Better than expected inflation figures arrive but economist are warning interest rate hikes might still come this year.

Better than expected inflation figures arrive but economist are warning interest rate hikes might still come this year.

ALSO: State Lawmakers Consider Online Lottery Sales... Bill Could Allow Executions By Firing SquadSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Connect with Early Riders // Connect with OnrampPresented collaboratively by Early Riders & Onramp Media…Final Settlement is a weekly podcast covering capital markets, dealmaking, early-stage venture, bitcoin applications and protocol development.00:00 - Welcome Back and Market Overview02:47 - Inflation and Asset Trends05:44 - Regulatory Changes and Institutional Adoption08:53 - Security Risks and Custody Solutions11:52 - Market Sentiment and Long-Term Thinking14:57 - The Role of AI and Future Predictions33:15 - Navigating the Content Proliferation Challenge35:59 - The Future of Value in Digital Content40:19 - Stablecoins vs. Bitcoin: The Future of Transactions42:10 - Tether's Strategic Positioning in Global Markets48:43 - The Shift of Talent and Capital to Favorable Jurisdictions56:17 - Understanding the Economic Landscape and Future OpportunitiesIf you found this valuable, please subscribe to Early Riders Insights for access to the best content in the ecosystem weekly.Links discussed:https://x.com/exec_sum/status/2005751198725640395?s=20https://x.com/bearlyai/status/2006474217206985085?s=20https://x.com/paoloardoino/status/2002414704753586398?s=20Keep up with Michael:https://x.com/MTangumahttps://www.linkedin.com/in/mtanguma/Keep up with Brian:https://x.com/BackslashBTChttps://www.linkedin.com/in/brian-cubellis-00b1a660/Keep up with Liam:https://x.com/Lnelson_21https://www.linkedin.com/in/liam-nelson1/

Send comments and feedbackWhile as many as 1 in 3 first seizures are acute symptomatic seizures, these seizures receive relatively little attention during training. Dr. Ching Soong Khoo speaks with Dr. Marian Galovic about the etiology and management of acute symptomatic seizures and how they may inform outcomes and future epilepsy risk.Mentioned during the episode:The SeLECT Consortium predictepilepsy.com The SeLECT model of developing epilepsy after ischemic strokeThe CAVE model of developing epilepsy after hemorrhagic strokeThe 2HELPS2B score to identify patients most likely to benefit from prolonged EEG Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.Let us know how we're doing: podcast@ilae.org.The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

In this episode, Dr. Tony Ebel addresses a question that deeply concerns seizure parents: why seizures often increase during developmental leaps. Drawing from both clinical experience and his personal journey as a father, he explains how these temporary upticks can be part of neurological growth and healing, not necessarily regression. Dr. Tony breaks down the neuroscience behind neuroplasticity, increased metabolic demand, and why the nervous system can look more unstable before reorganizing more effectively. He also shares clear guidance on how to support your child during these phases, how to tell the difference between healing progress and true setbacks, and when additional medical support is needed.-----Links & ResourcesListen to the deep dive seizures episode here.Get access to our free guide to improve your child's sleep here.-----Key Topics Covered:3:00 Dr. Tony's personal story and his son's seizure journey6:00 Reframing the challenge and when an uptick may signal healing11:00 The neuroscience of neuroplasticity and temporary instability14:00 Why vulnerable nervous systems struggle more during developmental leaps17:00 Three key signs to distinguish healing progression from true regression22:00 How parents can support their child through regulation, sleep, and metabolic needs26:00 Metabolic demand and the immune system connection30:00 The vagus nerve's role in neurological stability32:00 Understanding regression as part of progression in healing36:00 Practical recap and warning signs that require medical review40:00 Closing encouragement and how to submit future questions-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click Here

In a special episode of TSC Now, Dan interviews Bridgett Langstaff, mom to Jude, a 17-year-old living with tuberous sclerosis complex (TSC) and epilepsy. Bridgett shares Jude’s diagnosis story and how they ultimately made their way to Mass General Hospital and Dr. Thiele. She also talks about Jude’s ongoing struggle with seizures, from infantile spasms as a baby, to partial seizures, to tonic clonic seizures as he started going through puberty, and she details their journey to achieve seizure control through multiple medications, the ketogenic diet, and surgery. Finally, she shares what it’s like as a parent to witness a prolonged seizure (one lasting longer than 3 minutes) and how and when they decide to administer rescue medication to stop a seizure. This podcast was sponsored by UCB Biopharma, in an effort to raise awareness of prolonged seizures. UCB was not involved in the content development for this podcast. UCB is currently running the STARS study, a clinical trial researching an investigational medication for people who experience prolonged epileptic seizures (i.e. lasting more than 3 minutes) who are over the age of 12. The STARS Study is testing an inhaler containing an investigational drug that has been designed to potentially stop a prolonged seizure once it has begun. If you are interested in learning more, visit www.starsepilepsystudy.com to learn more or contact a Patient Navigator to better understand this study at 470-523-2502.

This is an audio version of a white broad series covering inhibition/thalamic reticular nucleus. See the video to follow along.This episode provides a detailed exploration of the thalamic reticular nucleus (TRN), the inhibitory "shell" surrounding the thalamus that acts as a sensory gate in the brain. Drawing on prior episodes, it explains how abnormalities in TRN development—linked to factors like Sonic Hedgehog signaling knockouts, reduced parvalbumin interneurons, and genes such as CNTNAP2—contribute to the excitation-inhibition imbalance central to autism. The TRN regulates sensory input access (visual, auditory, somatosensory), attention modulation, sleep-wake cycles, and overload protection; in autism, its dysfunction leads to sensory overload, hyperactivity, repetitive behaviors, and social challenges, while offering strengths like accelerated learning, intense focus, and enhanced visual thinking due to heightened inner-directed processing.83: Thalamic Reticular Nucleus (TRN), Sensory Gating & Autism https://youtu.be/cjwbog7Rk4c?si=R3Nq3Hs5A0M_7Vts 82: Sonic Hedgehog & Inhibitory Neurons in Autism https://youtu.be/Oee4L7Vsj4E?si=rG2T8R9AIYAnDBw7 76: Parvalbumin Interneurons & the Autistic Phenotype https://youtu.be/PBHVssvoQkM?si=saFvjVx9Bjq610pk Also see the Visual Thinking episodes, but White Broad Series coming to cover those in more detail.Daylight Computer Company, use "autism" for $50 off at https://buy.daylightcomputer.com/autismChroma Light Devices, use "autism" for 10% discount at https://getchroma.co/?ref=autismFig Tree Christian Golf Apparel & Accessories, use "autism" for 10% discount at https://figtreegolf.com/?ref=autismCognity AI for Autistic Social Skills, use "autism" for 10% discount at https://thecognity.com00:00 Introduction, Episode Recap, TRN Overview02:45 TRN Anatomy Drawing, Thalamus Structure and Shell05:18 Sonic Hedgehog Role, Knockout Models in Development10:48 Cell Types in TRN, Parvalbumin vs Somatostatin Functions15:19 TRN Sectors, Sensory Inputs (Visual/Auditory/Somatosensory) Access20:37 Cortical Connections, Layer 6 Feedback and Crosstalk25:04 Mini-Columns Recap, Thalamus to Layer 4 Processing29:56 Prefrontal Cortex Mapping, Adaptive Responses Role34:22 TRN Functions: Attention Modulation, Sleep-Wake Regulation36:22 CNTNAP2 Discussion, Knockout Phenotypes (Hyperactivity, Seizures)38:45 Strengths/Weaknesses: Accelerated Learning, Visual Thinking Benefits42:18 Overload Protection, Hyperactivity, Social/Repetitive Challenges46:30 Conclusion, Autism as "Self," Inner-Directed ProcessingX: https://x.com/rps47586YT: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuAemail: info.fromthespectrum@gmail.com

Drs. Mahinda Yogarajah, Benjamin Tolchin, and Jon Stone discuss recommendations for clinicians, patients, and other stakeholders on the management of functional seizures.  Show citation: Tolchin B, Goldstein LH, Reuber M, et al. Management of Functional Seizures Practice Guideline Executive Summary: Report of the AAN Guidelines Subcommittee. Neurology. 2026;106(1):e214466. doi:10.1212/WNL.0000000000214466  Show transcript:  Dr. Mahinda Yogarajah: Welcome to this edition of Neurology Minute. I'm your host for this. My name's Mahinda Yogarajah. I've just finished interviewing Dr. Ben Tolchin and Jon Stone for this week's Neurology® Podcast. For today's Neurology Minute, I'm hoping Ben can tell us the main points of the podcast and the paper discussed in that podcast. Dr. Ben Tolchin: We discussed the AAN guideline on the Management of Functional Seizures. This is the first American Academy of Neurology evidence-based guideline on functional neurologic disorder. It includes a systematic review of the randomized controlled trials relating to the treatment of this disorder, which found that psychological interventions are possibly effective in improving the chance of achieving freedom from functional seizures, in reducing the frequency of functional seizures, in improving quality of life, and in improving anxiety. In addition to the systematic review, there are clinical recommendations based on the systematic review and on related evidence. The recommendations deal with all stages of the diagnosis, management, and treatment of functional seizures and are particularly relevant to neurologists caring for patients with functional seizures. In addition, there are recommendations for future research relating to the diagnosis and management of functional seizures. Dr. Mahinda Yogarajah: Thank you, Ben. For more information, I'd recommend go to the main podcast or go and have a read of the article that's been published in Neurology® on the Management of Functional Seizures Practice Guidelines.

Dr. Mahinda Yogarajah talks with Drs. Benjamin Tolchin and Jon Stone about recommendations for clinicians, patients, and other stakeholders on the management of functional seizures.  Read the related article in Neurology®. Disclosures can be found at Neurology.org. 

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For a special episode we have the recording of a webinar, David Tannenbaum, the Director of Deep Blue Intelligence, and Carmella O'Hanlon from Blank Rome, discuss the US Coast Guard's seizure of the Skipper, a Dark Fleet vessel, the legal basis underpinning it, and how the administration can enact a “blockade” of Venezuelan oil. They also discuss examples of typologies and red flags relating to Venezuela's Dark Fleet, a what comes next. Please note: This taping occurred prior to the administration's seizure of the Centuries and Bella 1, two other Dark Fleet tankers, on December 20th and 21st respectively.https://www.polestarglobal.com/deep-blue-intelligence/

Amid Venezuela patrols, President Trump reimagines his naval fleet. A Russian general is assassinated in a Moscow car bomb attack. And congressional retirements hit a generational high as Republicans debate a post-Trump future. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Mentor Sessions Ep. 044: Bitcoin Freedom, Government Adoption Risks & IMF Criticism | My First Bitcoin Founder John DennehyWhat if government Bitcoin adoption isn't the victory everyone celebrates... but the greatest threat to true Bitcoin freedom? In this eye-opening interview on BTC Sessions, John Dennehy — founder of My First Bitcoin — drops the uncomfortable realities: governments and corporations could co-opt Bitcoin, turning it into just another controlled asset while stripping away self-custody, sovereignty, and individual power. He exposes the IMF's exploitative grip on nations, warns that politicians are "fair-weather friends" to Bitcoin, and shares why grassroots education and real-world usage are the only path to genuine liberation. From his own arrests and jail-cell epiphany ("They can't take this from me") to brutal lessons from El Salvador's experiment, John reveals why Bitcoin isn't just "number go up" — it's the tool to build a freer world, starting with self-custody and rejecting centralized control. If you're serious about Bitcoin as freedom money, this is the conversation you can't afford to miss.Key topics: Bitcoin freedom, government Bitcoin adoption, self-custody, Bitcoin education, IMF criticism, My First Bitcoin.Support My First BitcoinWebsite: https://myfirstbitcoin.orgX: @MyFirstBitcoin_Chapters:00:00 Teaser & Intro00:01:45 Government Adoption: Threat or Victory?00:03:09 Education + Usage for True Freedom00:06:46 Money = Power: Bitcoin's Unique Freedom00:08:01 Predictability & Long-Term Thinking00:11:08 Self-Custody vs Treasury Companies00:13:14 Global Adoption & Hurdles00:17:09 Politicians as Fair-Weather Friends00:22:27 The Cliff Analogy & Urgency00:25:08 Personal Actions & Leading by Example00:26:57 Regions Primed for Bitcoin00:30:36 John's Seizures & Bitcoin Journey00:36:48 IMF Exposed: Sovereignty Killer00:44:54 Alternatives & Preventative Solutions00:51:13 El Salvador Lessons00:58:25 Governments: Get Out of the Way01:01:13 Bitcoin Transforms Mindsets01:04:27 Building New Models01:10:59 Jail Liberation & Bitcoin Power01:16:52 Help My First Bitcoin & Get Involved About John Dennehy:X: https://x.com/jdennehy_writesPrevious Episode:Exposing the Global Elite's Bitcoin Psyop | Dr. Jack Kruse & Simon Dixon: https://youtu.be/4Rzv9meq3Yg

In this powerful episode, Dr. Tony Ebel shares the heartbreaking story of his son Oliver's traumatic birth and first seizures, and how it led him to discover the root cause of childhood seizures. Dr. Tony explains the different types of seizures and how subluxation in the brainstem and neck disrupts the nervous system. He shares breakthrough research showing 87% of kids with seizures have severe upper cervical subluxation, and 78% see significant improvement with Neurologically Focused Chiropractic Care. This episode offers hope and a drug-free path forward for families dealing with seizures.-----Links & ResourcesExplore our free articles on seizures and the nervous system here.-----Key Topics & Timestamps(00:03:00) - Absence seizures: the commonly missed diagnosis(00:06:00) - The most common trigger of seizures the world doesn't know about(00:08:00) - The brainstem is the boss: the circuit breaker of the nervous system(00:11:00) - Oliver's story: traumatic birth and first seizure(00:17:00) - Discovery: birth trauma is the #1 cause of childhood seizures(00:19:00) - Six weeks to seizure-free: Oliver's healing journey(00:22:00) - Network research: 87% of kids with seizures have subluxation(00:28:00) - Sympathetic dominance: stuck in fight-or-flight mode(00:31:00) - The three scans that measure nervous system dysfunction(00:36:00) - "I'm not anti-medication, I'm pro-nervous system"(00:39:00) - Your child can heal: the message of hope(00:42:00) - Oliver today: 14 years old, seizure-free, thriving-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click Here

Matt Larosiere and Ivan T. Troll dive into a packed episode, starting with personal updates and a move. They explore the history of the Colt All American and discuss Matt Hoover’s legal challenges. The episode covers Caribbean gun trafficking and analyzes a controversial gun seizure image. They critique the Trump administration’s NFA contradictions and examine […]

Matt Larosiere and Ivan T. Troll dive into a packed episode, starting with personal updates and a move. They explore the history of the Colt All American and discuss Matt Hoover's legal challenges. The episode covers Caribbean gun trafficking and analyzes a controversial gun seizure image. They critique the Trump administration's NFA contradictions and examine an AP article on mass killings post-Bruen. The ATF's rule on interstate NFA transport is scrutinized, followed by a look at shotguns in military history and a UK man's legal issues over a shotgun photo. They end with discussions on California ammo law, Rep. Ilhan Omar's gun control, and Florida's gun law repeal. Caribbean gun trafficking tied to hubs in Florida and Georgia Both sides of the mouth: The Government Defending NFA while Taxing at 0 Additionally, they're doing the same thing in the Colon case US mass killings are down in 2025 Proposed ATF Final Rule Would Simplify Interstate Transport Of Some NFA Items Traditional Arms: Fuddbusters and Ratman America's Dumbest Shotgun Earns Another U.S. Army Contract Man Arrested in UK for Posting Shotgun Photo From Florida Trip to Linkedin MAF Corp: Fudbdusterss 9th Circuit revives California law requiring background checks for ammo purchases Rep. Ilhan Omar Pushes for Federal Gun Registry and Nationwide Buyback FFL Payments US Justice Department plans gun rights office within civil rights unit Florida: Pro-Gun Bill Repealing Adult Age Discrimination Advances to House Vote Patriot patch Co. TWIG10   Timestamps: 0:00 Introduction and sponsors 1:37 Consolidated: Ivan's updates and Matt's moving 2:31 Colt All American discussion 5:24 Matt Hoover's legal situation 6:28a Caribbean gun trafficking report 8:18 Analysis of gun seizure image 15:03 Trump admin and NFA contradictions 26:39 AP article on mass killings and crime post-Bruin 32:05 ATF rule on interstate NFA transport 38:21 Sponsor: Traditional Arms Holsters 38:58 Shotguns: History and military use 46:38 UK man's shotgun photo incident 52:22 Sponsor: MAF Corporation 53:16 Ninth Circuit and California ammo law 57:12 Rep. Ilhan Omar's gun control efforts 1:02:14 Sponsor: FFLPaymentProcessing.com 1:02:57 DOJ's gun rights office and Florida gun law repeal 1:07:49 Sponsor: PatriotPatch.co 1:09:43 Closing remarks and Patreon promotion