45. Differential Diagnostic Of Seizures And Epilepsy Flashcards
1
Q
Different types of seizures
A
Myoclonus Clinic Seizure Epileptic seizure Epilepsy
2
Q
Clinical exam
A
Not in seizure
Signalement
Full clinical work up
Full neurological work up
During seizure
Video proof
Description of event
3
Q
VITAMIN D
A
Vascular Inflammation Trauma/toxic Anomaly (inherited) Metabolic Idiopathic Neoplasia Degenerative
4
Q
Cs (3 phases)
A
Pre-ictal 1-24 hrs long
Nervousness, seeks owners
Ictal. 10secs - 1hr long Convulsions Impaired consciousness Behavioral change Clinic Vegetative Tonic
Post ictal. Less than 2 hrs Todd’s paralysis Waliking Blind Deaf Salivating Disoriented Weak Paresis Ataxia
5
Q
Treatment of status epilepticus ( active seizures)
A
- IV catheter
- Diazepam - every 2 min ( max 4 doses) 1mg/kg
- Phenobarbital- every 6 hours - loading dose
- No response - propofol
6
Q
Paroxysmal events
A
Extracranial
Intracranial
7
Q
Dx
A
Lab d Pcr Leukocytes Azotaemia Glucose Ca Na Acid base Liver parameters
Liquor - meningitis, meningioencephalitis, neoplasia, bleeding
Imaging -
Ct
MRI
8
Q
Ddx for seizures in dogs
A
Narcolepsy Exercise induced collapse Canine epileptic cramping syndrome Episodic falling Chinook seizure Scottie cramp
9
Q
Ddx seizure in cats
A
Fepso
Fops
Fhs
Fars
10
Q
Prevention of epilepsy
A
Phenobarbital
Effects
Imepitoin
New less adverse effects
Kailua bromide
If resistance to other two
Pancreatitis