AS IT HAPPENED: 'Postictal state' could explain lack of urgency in #VanBreda's emergency call - neurologist

2017-11-27 10:09

The murder trial of Henri van Breda has entered its final stretch in the Western Cape High Court, with defence witness Dr James Butler on the stand.

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Last Updated at 00:38
27 Nov 15:44

27 Nov 15:33
Desai asks if wetting the pants could be a result of the trauma of his family being murdered. Dr Butler says it's not just a "glipsie". 

27 Nov 15:33

27 Nov 15:32
Van Breda was unaware of wet pants. Police later told him that he wet his pants.

27 Nov 15:22

27 Nov 15:21

27 Nov 15:21
Possible to have a seizure then post-seizure brain activity can appear flat.

27 Nov 15:10

27 Nov 15:10

Butler says the distinction between loss of consciousness and amnesia is important to understand. Amnesia is a loss of memory. You can have amnesia, but still be conscious.



27 Nov 15:07
Traumatic brain injury is not a reason for a loss of consciousness for 2 hours and 40 minutes, Dr Butler says. Disagrees with Dr Du Trevou's testimony. 

27 Nov 14:59

27 Nov 14:53
In moments leading up to abrupt amnesia, Van Breda's brain appears to have been working perfectly fine, Dr Butler says.

27 Nov 14:46

27 Nov 14:46
Patients can have minor seizures that they fob off, or have minor or major ones in their sleep. 

27 Nov 14:45

27 Nov 14:37
Van Breda's girfriend often noticed jerks, would ask him if he was alright.

27 Nov 14:33

27 Nov 14:29
Dr Butler says deliberate twitching would not reflect on the EEG. "You either have it or you don't."

27 Nov 14:28

27 Nov 14:27
Court resumes. Dr Butler remains on the stand.

27 Nov 13:07

27 Nov 12:49

27 Nov 12:49
Butler says Van Breda told him he "was not in a clear mind space" and that he has little recollection of the night of the attack.

27 Nov 12:48

27 Nov 12:30
Dr Butler asked Van Breda about the jerks. Not at particular time of day, typically every few days, clustered. Once almost dropped a file because of it.

27 Nov 12:29

27 Nov 12:28
Video of Van Breda while asleep. He gives a jerk. In EEG he is in depths of stage 2 sleep. He is woken by this "little seizure", which Henri said was a "little shiver", Dr Butler says.

27 Nov 12:23

27 Nov 12:23
Judge Desai says this isn't what is commonly perceived as a seizure. Dr Butler says a common perception is that you fall down and shake. Majority of people have minor seizures, frequently unrecognised.

27 Nov 12:22

27 Nov 12:21
As trivial as it looks, at that moment there was a seizure discharge in the brain, Dr Butler says.

27 Nov 12:20

27 Nov 12:20
Butler points out Van Breda's left thumb, where he moves it away from his palm. 

27 Nov 12:18

27 Nov 12:17
Short adjournment as TV on the blink.  Viewing footage of Van Breda in hospital. He was instructed to press a button when experiencing one of the symptoms.

27 Nov 12:05

27 Nov 12:04

27 Nov 12:02
 Van Breda's memory terminated after looking up from his phone and seeing Marli.

27 Nov 12:02

27 Nov 12:01
Van Breda remembers waking up disorientated. He noticed it was light outside. 

27 Nov 11:53

27 Nov 11:52

27 Nov 11:52
Dr Butler found juvenile myoclonic epilepsy was highly likely.

27 Nov 11:52

27 Nov 11:51
Butler made handwritten notes, suspicious of JME. He refers to Juvenile myoclonic epilepsy (JME).

27 Nov 11:49

27 Nov 11:49
Dr Butler says he had reorganised what he had initially thought was wrong with Van Breda. Epilepsy is a "bad term" as there is a variety of types of epilepsy.

27 Nov 11:48

27 Nov 11:23
Shivers reported, any time of day.

27 Nov 11:22
Butler demonstrates the 'jerk' in court, reason for demonstration -  many people don't see it as seizures.

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