Association Clincal Findings Flashcards

1
Q

Are migraines associated more frequently in patients with epilepsy?

A

Yes, 2.4 times that of patients without epilepsy

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2
Q

What is the percentage of people with migraine also have epilepsy?

A

5.9%

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3
Q

How frequent is atypical language dominance in temporal lobe epilepsy?

A

20% - 30%

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4
Q

How frequent is atypical language dominance seen in healthy controls?

A

2%

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5
Q

What two fiber tracts have been implicated in verbal memory performance in temporal lobe epilepsy?

A

Uncinate fasciculus and inferior longitudinal fasciculus

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6
Q

What is the most important factor in atypical language lateralization?

A

Early seizure onset

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7
Q

Besides early seizure onset what factor is involved in atypical language lateralization?

A

Left hemisphere seizure focus

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8
Q

What does the WADA test score predict?

A

Verbal memory outcomes following left anterior temporal lobe surgery.

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9
Q

What does the WADA test poorly predict?

A

Post operative amnesia

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10
Q

What does a WADA asymmetry score predict after dominant temporal lobe resection?

A

Verbal memory decline.

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11
Q

What is the WADA asymmetry score associated with beside predicting verbal memory decline?

A

Associated with side of seizure onset, hippocampal atrophy on MRI, & neuronal loss in the respected hippocampus

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12
Q

What are the risks in doing the WADA?

A

Encephalopathy, seizures, stroke and hemorrhage,

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13
Q

In normal adolescents with and without chronic illness, epilepsy has a social impact as what illness

A

HIV and leukemia

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14
Q

Developed by the CDC, what does project UPLIFT use for treatment of depression?

A

Mindfulness based cognitive therapy

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15
Q

What two self management programs have are being used for epilepsy induced depression?

A

UPLIFT and PEARLS (this programs use community therapists)

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16
Q

What is the testing modality for depression in patients with epilepsy?

A

The Neurological Disorder Depression Inventory for Epilepsy

17
Q

The NDDI-E score of > 15 has what meaning?

A

Depression, with a specificity of 90% and sensitivity of 81%

18
Q

Does the NDDI-E have internal consistency and retest reliability?

A

Both