Blackouts / Seizures Flashcards
1
Q
What are the types of epileptic seizures?
A
- Focal (aka partial)
- Generalised to particular area
- Can be motor or non motor
- Can have varying degrees of consciousness - Generalised
- Involve both sides of brain
- LOC
2
Q
Generalised Tonic Clonic seizure features
A
LTC 1. LOC 2. Tonic (Muscle tensing)- 1st 3. Clonic (Jerking)- 2nd \+/- tongue biting, incontinence, groaning and irregular breathing
3
Q
What happens in the post ictal period of a tonic clonic?
A
Confused, drowsy and feels irritable or depressed
4
Q
Management of Tonic Clonic
A
1st SV
2nd Lamotrigine or carbamazepine
5
Q
Temopral lobe focal seizure
A
HEAD
- Hallucinations (auditory/gustatory/olfactory)
- Epigastric rising/Emotional
- Automatisms (lip smacking/grabbing/plucking)
- Deja vu/Dysphasia post-ictal)
6
Q
Frontal lobe focal seizure
A
MOTOR
- Head/leg movements, posturing, post-ictal weakness, Jacksonian march
7
Q
Parietal lobe focal seizure
A
Sensory
- Paraesthesia
8
Q
Occipital lobe focal seizure
A
Visual
- Floaters/flases
9
Q
Focal seizure treament
A
Reverse of TC
- Carvamazepine or lamotrigine
- SV or Leve
10
Q
Features of absence seizure (petit mal)
A
- Children (3-10yo + 2x in girls)
- 10 to 20 seconds
- Provoked by hyperventilation/stress
11
Q
Managment of absence seizure
A
- sodium valproate or ethosuximide
12
Q
Atonic Seizures
A
- Lapse in muscle tone
- No more than 3 minutes
- may be indicative of Lennox-Gastaut syndrome
13
Q
Atonic Managment
A
- SV
2. Lamotrigine
14
Q
Myoclonic seizures
A
- Sudden muscle contractions
- Pt awake
- Common in juvenile myoclonic epilepsy
15
Q
Myoclonic seizure management
A
- SV
2. lamotrigine, levetiracetam or topiramate
