Chapter 16 Flashcards
Classification of seizures
- Focal seizures
- Generalized seizures
- Unclassifiable seizures
Focal seizures types
- Simple partial seizures: don’t disturb consciousness
- Complex partial seizures: Disturb consciousness
- Secondary generalized seizures
Generalized seizures
- Absences: only in children
- Myoclonic: muscle twitching, jerking/spasms
- Tonic-clonic seizures
- Tonic seizures: sudden tension of msucles
- Clonic seizures: Stiffening and relaxing of muscles
- Atonic seizures: loss of muscle strength
Status epilepticus
One seizure after another
Classification of epilepsy syndromes
1: Location related epilepsy syndromes
2: Generalized epilepsy syndromes
3. Epilepsy syndromes
4. Special syndroms
Terms related to the cause of an epilepsy syndrome
- Idiopathic: unknown cause
- Symptomatic: known cause
- Cryptogenic: Strong suspicion but no certainty.
Pre-ictal
Time before onset of seizure. can be hours to days. Behavioral restlessness
Post-ictal
Time period following seizure. can be minutes to hours. restlessness, aggressiveness, increased appetite
Treatment of epilepsy
- Anti-convulsants: control only seizure
- Neurosurgery: for focal epilepsy
- Vagus nerve stimulation
- Deep brain stimulation
- Ketogenic diet
Neuropsychological consequences of epilepsy
- Increased risk of cognitive impairment
- Information processing problems
- Epileptic processes interfere with function of cognitive networks
- Temporal epilepsy can cause memory loss
- Frontal epilepsy can cause executive dysfunction
Comorbidity with epilepsy
Mood and anxiety disorders. Personality changes
Psychological aspects of epilepsy
- Low self-esteem
2. Stigma
Risk factors epilepsy
- Stable: Brain anomaly, age of onset, seizure type
- Dynamic: frequency and timespan, duration
- Treatment