45. Differential Diagnostic Of Seizures And Epilepsy Flashcards

1
Q

Different types of seizures

A
Myoclonus 
Clinic
Seizure
Epileptic seizure 
Epilepsy
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2
Q

Clinical exam

A

Not in seizure
Signalement
Full clinical work up
Full neurological work up

During seizure
Video proof
Description of event

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3
Q

VITAMIN D

A
Vascular 
Inflammation 
Trauma/toxic 
Anomaly (inherited)
Metabolic
Idiopathic 
Neoplasia 
Degenerative
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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
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5
Q

Treatment of status epilepticus ( active seizures)

A
  1. IV catheter
  2. Diazepam - every 2 min ( max 4 doses) 1mg/kg
  3. Phenobarbital- every 6 hours - loading dose
  4. No response - propofol
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6
Q

Paroxysmal events

A

Extracranial

Intracranial

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7
Q

Dx

A
Lab d 
Pcr
Leukocytes 
Azotaemia 
Glucose 
Ca
Na 
Acid base 
Liver parameters 

Liquor - meningitis, meningioencephalitis, neoplasia, bleeding

Imaging -
Ct
MRI

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8
Q

Ddx for seizures in dogs

A
Narcolepsy 
Exercise induced collapse 
Canine epileptic cramping syndrome 
Episodic falling 
Chinook seizure 
Scottie cramp
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9
Q

Ddx seizure in cats

A

Fepso
Fops
Fhs
Fars

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10
Q

Prevention of epilepsy

A

Phenobarbital
Effects

Imepitoin
New less adverse effects

Kailua bromide
If resistance to other two
Pancreatitis

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