5: Seizures - Friedgood

Question 1

recurrent non provoked seizures

Answer 1

epilepsy

• need to be more than one
• not provoked by a certain incident or known medical condition

Question 2

seizure prodrome

Answer 2

aura

Question 3

motor manifestation of seizure

Answer 3

convulsion

Question 4

time from end of seizure to brain recovery

Answer 4

postictal state

Question 5

continuous (30 min) or recurrent seizures

Answer 5

status epilepticus

Question 6

ILAE classification of epileptic seizures

Answer 6

anatomic classification

each seizure is a symptom/ not a disorder

Question 7

international classification of epilepsies and epileptic syndromes

Answer 7

based on location, cause, clinical manifestations and prognosis of seizures

Question 8

80% of seizures are ______. 20% are ___

Answer 8

partial/focal

generalized

Question 9

tonic

clonic

Answer 9

fixed postion

jerky motions

tonic-clonic generatlized = tonic-clonic seizures

Question 10

petit-mal =

Answer 10

absence epilpesy

3/sec spike and dome pattern on EEG

generalized seizures in school age kids, not toni-clonic activity, lots in an hour, “blanking out”

Question 11

irregular body jerks

Answer 11

myoclonus

associated with hypoxic brain injuries

Question 12

loose all body tone

sudden freezing

Answer 12

atonic

akinetic

Question 13

stay awake during seizure

Answer 13

simple partial/focal

Question 14

jacksonian march

Answer 14

body starts seizing moving place to place

partial motor seizures

Question 15

psychic partial seizures

Answer 15

say they see things, hear things, etc

may just think these people are crazy

Question 16

idiopathic v. symptomatic v. cryptogenic seizures

Answer 16

idiopathic

• benign childhood epilepsy (central spikes)
• childhood epilepsies (occipital paroxysms)

symtomatic
- epilepsia partialis continua

• cryptogenic
  general symptomatic seizures

Question 17

behavior in seizures is ________

Answer 17

NON-directed

non-epileptic events if there is a directed aggression

Question 18

first aid for seizures

Answer 18

• position pt
• remove eyeglasses
• clear harmful objects
• loosen clothing
• minimal restraint
• turn on side
• nothing in mouth/ secure airway
• observe, call for help is prolonged or repetitive
• postictal reassurance
• NO meds unless in status

Question 19

therapeutic controls

Answer 19

• complete seizure control
• few adverse events
• improved quality of life
• affordable treatment

Question 20

epilepsy treatment

Answer 20

• prophylaxis (helmet?)
• treat causative/exacerbating factors such as infection, temp, intoxication etc
• anticonvulsant therapy
• dietary management

Question 21

epileptics driving?

Answer 21

not allowed in Iowa if you have an episode of lost consciousness

but epileptics as safe as pt with uncontrolled diabetes or heart disease, safer than OSA

Question 22

dangerous antiepileptic drugs for preggers

Answer 22

valproate 9.3
phenobarbital 5.5
topiramate 4.2