418 Seizures

Question 1

25M complains of continuous twitching of the left arm for 2 days. What is this type of seizure?
A. Jacksonian march
B. Todd's paralysis
C. Epilepsia partialis continua
D. Status epilepticus

Answer 1

C. Epilepsia partialis continua

Question 2

45F presents with convulsive seizures. At the ER obtunded and soon begins to exhibit tonic clonic movements of both upper extremities lasting for 6 minutes. PE no signs of trauma. After administering lorazepam, which drug will you give next?
A. levetiracetam
B. carbamazepine
C. valproic acid
D. phenytoin

Answer 2

D. phenytoin

Question 3

Where does focal seizure arise?

Answer 3

Medial temporal lobe or inferior frontal lobe

Question 4

Represents spread of seizure activity over a progressively larger region of the motor cortex;
abnormal movements begin in a very restricted such as fingers and gradually progress to include larger portion of the extremities

Answer 4

Jacksonian march

Question 5

Localized parethesia minutes to hours in involved regions following seizure

Answer 5

Todd paralysis

Question 6

seizure continue for hours to day and often refractory to medical therapy

Answer 6

epilepsia partialis continua

Question 7

Type of seizure where is behavioral arrest accompanied by automatism and then anterograde amnesia or postictal aphasia

Answer 7

Focal seizure with dyscognitive features

Question 8

Refers to involuntary behaviors likes chewing, lip smacking, picking movements of the hands or running or elaborate display of emotion

Answer 8

Automatism

Question 9

Characterized by sudden brief lapes of consciousness without loss of postural control. Seizure typically lasts for only seconds, consciousness returns with no post ictal confusion

Answer 9

Typical absence seizures

Question 10

Electrophysiologic hallmark of typical seizure

Answer 10

Generalized symmetric 3 Hz spike and wave discharge that begins and ends suddenly superimposed in normal EEG background