BrainSCAN Version 1.0
Developed by:
Sim Jaggernauth DO
© Palmtronix Inc. 2001
Requirements:
Palm OS
Installation:
Unzip the downloaded file to a location you will remember.
You should now have 3 files:
ReadME.htm
BrainSCAN.prc
NSBRuntime.prc (latest build is 1.08)
Using the Palm Desktop Install Tool, add BrainSCAN.prc and
NSBRuntime.prc to be installed.
HotSYNC to your Palm and you are ready to go.
Cost: BrainSCAN Version 1.0 is free.
Purpose:
The diagnosis of pseudoseizures can be difficult. Patients
may have an established organic diagnosis of seizures yet be embellishing a
true organic problem. BrainSCAN is a simple test for patients with
pseudoseizures. Psychogenic seizures, pseudoseizures aka JAGSIM-Seizures are
not the result of abnormal CNS electrical activity. Patients may be medically
sophisticated enough to urinate or bite the tongue during a pseudoseizure. Loss
of bowel control is unusual. Many pseudoseizures are very unsophisticated.
During observation of the spell, it is usually clear that it
is a very theatrical and bizarre event. Purposeful movement occurs, and the
patient retains the ability to speak or act voluntarily. The shaking often
results in movement away from the midline, which is unusual in true seizures.
There may be repetitive behavior, which must be distinguished from the
repetitive behavior of temporal lobe seizures. The shaking movements may
simulate the tremulousness of delirium tremens (DTs) or rigors with a high
fever.
During possible pseudoseizures, the physician should observe
the eyes for the usual pupillary dilatation that accompanies the seizures.
Patients may communicate voluntarily during the pseudoseizure. Although it is
true that focal motor seizures may result in no impairment of consciousness,
generalized tonic-clonic seizures should cause loss of voluntary abilities.
Cyanosis is unusual; however, breath holding may occur. In general, patients
with pseudoseizures tend to be of lower intelligence or have an underlying
anxiety or hysterical personality disorder. However seizures and pseudoseizures
can be present in the same patient.
Indications:
Use this program ONLY if the following are present:
JAGSIM Criteria:
*No evidence or history of a previous seizure disorder.
*Negative EEG & EKG.
*Multiple patterns of seizures with varying initial focal
manifestations and precipitants.
*Recall of the ictal event.
*Asynchronous, thrashing movement of the extremities.
*Conversant during the episode.
*Abnormal activity stops on command (such as following
BrainSCAN).
*Normal pupillary light reaction.
*No postictal period (although 'postictal' states have been
documented after pseudoseizures).
*No response to anticonvulsants.
*Prolonged seizure activity.
*Absence of the acidemia and elevated serum prolactin levels
that accompany true ictus.
*History of a seizure following a recent highly emotional,
stressful or hysterical event.
Tell the patient that you are going to perform a BrainSCAN
to look for seizures. Be colorful with your explanation- then place or point
your instrument on their forehead and press Begin Scan. After the program shows
JAGSIM-Seizures present, then show them the screen results and tell them that
you would like to recreate the JAGSIM-Seizure by testing the Medulla Oblongata
thru playing certain tones. Ask if it would be OK to try to reproduce the
seizure in them. If they say OK (they most likely will), place the Palm Speaker
against their EAR and get say: “OK get ready.” And press the INDUCE Seizure
Button. If they are having pseudoseizures \ JAGSIM-seizures then it will be
recreated. Please be sure that your Palm is not muted, the volume is not low
nor your battery is dying.
Controls:
The hard UP and Down buttons increase\decrease the pulse
rate.
Pressing screen keys aborts the scan.
For more dramatic effects turn on the backlight and do a
BrainSCAN in the dark.
Contact:
You have been using:BrainSCAN Version 1.0.
For more comprehensive detail on Pseudoseizures or updates
of BrainSCAN visit:
or mirror server
If you would like to see an improved feature in this program
or have an idea in general, then drop me an E-Mail:
DISCLAIMER:
The
Software may be designated as alpha, beta, development, pre-release, untested,
or not fully tested versions of the Software. The Software may contain errors
that could cause failures or loss of data, and may be incomplete or contain
inaccuracies. USERS EXPRESSLY ACKNOWLEDGES AND AGREES THAT USE OF THE SOFTWARE
OR OTHER CONFIDENTIAL INFORMATION IS AT USERS’S SOLE RISK. THE SOFTWARE AND
OTHER CONFIDENTIAL INFORMATION ARE PROVIDED "AS IS" AND WITHOUT
WARRANTY OF ANY KIND AND PALMTRONIX EXPRESSLY DISCLAIMS ALL WARRANTIES, TERMS
AND CONDITIONS, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES, TERMS
AND CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE,
NONINFRINGEMENT OF THIRD PARTY RIGHTS AND SATISFACTORY QUALITY. PALMTRONIX DOES
NOT WARRANT THAT THE FUNCTIONS CONTAINED IN THE SOFTWARE OR OTHER CONFIDENTIAL
INFORMATION ARE SUITABLE FOR USERS’S USE OR THAT THE OPERATION OF THE SOFTWARE
OR OTHER CONFIDENTIAL INFORMATION WILL BE UNINTERRUPTED OR ERROR-FREE, OR THAT
DEFECTS IN THE SOFTWARE OR OTHER CONFIDENTIAL INFORMATION WILL BE CORRECTED.
FURTHERMORE, PALMTRONIX DOES NOT WARRANT OR MAKE ANY REPRESENTATIONS REGARDING
THE USE OR THE RESULTS OF THE USE OF THE SOFTWARE OR OTHER CONFIDENTIAL
INFORMATION OR IN TERMS OF THEIR CORRECTNESS, ACCURACY, RELIABILITY, OR
OTHERWISE. NO ORAL OR WRITTEN INFORMATION OR ADVICE GIVEN BY PALMTRONIX SHALL
CREATE A WARRANTY OR IN ANY WAY INCREASE THE SCOPE OF THIS WARRANTY. THIS
DISCLAIMER OF SOFTWARE WARRANTY CONSTITUTES AN ESSENTIAL PART OF THIS
AGREEMENT. NO USE OF ANY PORTION OF THE SOFTWARE OR OTHER CONFIDENTIAL
INFORMATION IS AUTHORIZED HEREUNDER EXCEPT UNDER THIS DISCLAIMER. Users
acknowledges that Palmtronix may not have publicly announced the availability
of the Software, that Palmtronix has not promised or guaranteed to users that
such Software will be announced or made available to anyone in the future, and
that Palmtronix has no express or implied obligation to users to announce or
introduce the Software or any similar or compatible product, or to continue to
offer or support the Software in the future.
DISCLAIMER
OF LIABILITY:
UNDER NO
CIRCUMSTANCES SHALL PALMTRONIX OR SIM JAGGERNAUTH BE LIABLE FOR ANY INDIRECT,
INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES, LOSS OF PROFITS OR REVENUE, OR
INTERRUPTION OF BUSINESS IN ANY WAY ARISING OUT OF OR RELATED TO THE USE OR
INABILITY TO USE THE SOFTWARE OR OTHER CONFIDENTIAL INFORMATION OR PALM'S
PERFORMANCE OR FAILURE TO PERFORM UNDER THIS AGREEMENT, REGARDLESS OF THE FORM
OF ACTION, WHETHER IN CONTRACT, TORT (INCLUDING NEGLIGENCE), STRICT PRODUCT
LIABILITY OR OTHERWISE, EVEN IF PALM HAS BEEN ADVISED OF THE POSSIBILITY OF
SUCH DAMAGES. I am NOT responsible for you being a poor Physician. You are
in no way obligated to use this program, and the use of BrainSCAN is 100% at
your sole discretion. If you miss an actual seizure in a patient or hurt
someone, and try to blame it on my program; then tough luck, you’d better get a
dam good lawyer. This program has NO ability whatsoever to induce actual
epileptic seizures.
USING ACKNOWLEDGES THIS AGREEMENT.
OWNERSHIP:
All rights
not expressly granted hereunder are reserved by Palmtronix and Sim Jaggernauth.
No rights or licenses are implied by this Agreement. Without limiting the
foregoing, right is granted to distribute all or any portion of the BrainSCAN
Version 1.0 Software so long as it is not sold, distributed, or transmitted in
any form in whole or partially as any part of a package. The Software provided
may only be used as expressly provided and for no other purpose whatsoever.
Users acknowledges and agrees that as between Palmtronix and user, Palmtronix
and Sim Jaggernauth owns all right, title and interest in and to the Software,
including, but not limited to, any and all patents, copyrights, trade secrets,
trademarks and other intellectual property and proprietary rights therein not
expressly granted to user. Any ideas with respect to the Software and any
modifications and the like made by users to the Software will be the property
of Palmtronix. User agrees to assign, and hereby assigns, all right, title and
interest worldwide in the supportive information and the related intellectual
property rights to Palmtronix and agrees to assist Palmtronix, at user’s
expense, in perfecting and enforcing such rights. If you would like to bundle
this program with software for distribution see CONTACT information for
details.