24. Epilepsy Flashcards

1
Q

type of epilepsy w 3 Hz spike and wave?

tx?

A

Childhood absence epilepsy

ethosuximide

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2
Q

EEG characteristics of infantile spasm (west syndrome)?

A

hypsarrthymia

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3
Q

seizure type with brief rapid muscle jerks?

A

myoclonic

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4
Q

imaging to diagnose Epilepsy?

A

MRI

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5
Q

seizure type w loss of muscle tone?

A

aclonic

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6
Q

type of epilepsy w clasp knife like arm rxn?
EEG appearance?
tx?

A

Infantile spasms
EEG= hypsarrthymia (chaos)
refractory to drugs so tx with ACTH

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7
Q

most common epilepsy syndrome in adults often w complex partial seizures and aura?

A

temporal lobe epilepsy

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8
Q

type of epilepsy w seizures varying depending on time of day in children bw 4 and 13?
Associated problems?
tx?

A

Benign focal epilepsy of childhood

Children are normal other than seizures

carbamazapine

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9
Q

hw are partial seizures distinct from generalized? 2 type of partial?

A

partial - focal
simple - no loss of consciousness or spreading
complex - loss of consciousness + spreading

generalized - whole brain

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10
Q

type of epilepsy characterized by myoclonic jerks in morning?
tx?
drug to not use?

A

Juvenille myoclonic epilepsy

tx Valproate

dont useCarbamazapine

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11
Q

3 year old pt presents w mental retardation and uncontrolled seizures, diagnosis?

A

Lennox-Gastaut Syndrome

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12
Q

3 characteristics of lennox-gastaut syndrome?

A

Mental retardation
varying seizure type
onset <4 y/o

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13
Q

EEG characteristics of childhood absence epilepsy? tx?

A

3Hz Spike and Wave.

Ethosuximide

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14
Q

type of seizure with bizarre motor symptoms (dancing, walking)?
associated condition?

A

frontal lobe epilepsy

status epilepticus

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15
Q

most common sign of neurologic dysfunction in newborns?

A

neonatal seizures

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16
Q

describe benign focal epilepsy of childhood?
wt patient subset does it occur?
tx?

A

seizures which vary depending on time of day. focal in morning. generalized at night.

onset bw 4 and 13 in otherwise normal children

Carbamazepine is DOC

17
Q

df epilepsy?

A

2 unprovoked seizures at least 24 hrs apart