15: Seizures And Syncope

Question 1

Name some paroxysmal (episodic) disorders in neurology

Answer 1

Migraine, syncope, dizziness, seizure, transient global amnesia

Question 2

Definition of epilepsy

Answer 2

2+ unprovoked seizures

Question 3

When doing EEG to dx seizure, what type of seizure has a 90% chance of being seen on EEG where others are btwn 20-40% chance?

Answer 3

Petit Mal (absence)

Question 4

Two things that can provoke seizures to catch them on EEG

Answer 4

1. Hyperventilation

2. Sleep deprivation

Question 5

Single most important info for Dxing seizures

Answer 5

History - esp from a witness

Question 6

A combo of AEDs that has been shown to treat epilepsy the best

Answer 6

Val proud acid + lamotrigine

Question 7

Major AED to avoid in pregnancy

Answer 7

Valproic acid

Question 8

Drug of choice for pregnant women with epilepsy

Answer 8

None are perfect, but the best are the newer drugs and the one that best controls the pt’s seizures

Question 9

Transient global amnesia

Answer 9

Sudden temporary isolated episode of loss of memory, pt may not recognize people, lasts a few hours and resolves, no memory of the event, no other neuro sx