44. ddx of seizure, epilepsy Flashcards
what to mention
general: types of seizures
epileptic seizure: clinical signs, phases
epilepsy
cat seizures: FEPSO,
ddx of seizure, non epileptic seizures
not everything that shakes is epilepsy myasthenia gravis syncope fly biting - OCD narcolepsia exercise induced collapse canine epileptoid cramping in border terrier head bobbing episodic falling in KCCS
ddx of seizures, epileptic seizures
startle reaction scottie cramp chinook seizure toller REM sleep disorder benign juvenile epilepsy generalized myoclonic epilepsy in ridgeback chiari malformation
what is a seizure
any sudden, short, transient event
what is epileptic seizure
transient occurence
due to abnormal increased synchronous neural activity
what is epilepsy
barin disorder
predisposed to generate epileptic seizures
2 unprovoked seizures in less than 24 hours apart
what are the clinical signs of epileptic seizure
running, lateralization, breathing change
focal -> general: one part of brain start, rest follows
focal -> incomplete general: stop before full generalization
focal-> secondary general: try to stop but continue
what are the main phases of epileptic seizure
1 preictal: 1-24h, nervous, seek owner
2 ictus: 10sec-1h, convulsion, run, dig, hallucinate, vegetative->poo,pee, salivate
3 post ictal: > 2 hours, Todds paralysis, weak paresis, ataxia, circling, blind, deaf, bark
myasthenia gravis
not epileptic
paresis without convulsion
episodic weakness, exercise induced, improve with rest
syncope
not epileptic
sudden short unconsciousness, cerebral hypoperfusion
fly biting
non epileptic
OCD
treat: clomipramin or fluoxetine
behavioural therapy
narcolepsia
non epileptic
excitation induced loss of muscle tone
amitriptylin, imipramin, desipramin
exercise induced collapse
non epileptic
ataxia, HL paresis
canine epileptoid cramping in border Terrier
non epileptic
´´spikes disease´´
ataxia, falling, stiffness, tremor
diazepam, clonazepam, buscopan
head bobbing
non epileptic
movement disorder
clonic movement
