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Pedia > Convulsions > Flashcards

Convulsions Flashcards

1
Q

CCH Crises Convulsives HyperThermiques
-Simples
Âge

A

1-5 ans

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2
Q

CCH Crises Convulsives HyperThermiques
-Simples
Durée
Répétitions

A

< 15 min

1 épisode sur 24h

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3
Q

CCH Crises Convulsives HyperThermiques
-Simples
Type

A

Généralisé

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4
Q 
CCH Crises Convulsives HyperThermiques
-Simples
Déficit
ATCD
EC
A

0/ déficit post-critique
0/ ATCD
EC Normale

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5
Q

Exams (4)

Si 0/ de fièvre

A

Hémogramme
Iono
Gly
Scann Cere (non Inj)

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6
Q

CCH (Crise Convulsive Fébrile)
Exams (4)
Si complexe

A

PL
NFS
CRP
BU

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7
Q

Cause CCH (1)

A

Pathologie fébrile

Ex : OMA

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8
Q

Crise Convulsive Fébrile
PL systématique si
-Age

A

< 6mois

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9
Q

Causes

Convulsions Fébriles (7)

A 
CCH
Méningite
Encéphalite
  Neuro-Palu
  Abcès
Thrombophlébite Sinus veineux
SHU
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10
Q

Sd West

Age

A

6 mois

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11
Q

Sd de C’est

Triade

A

Spasme
EEG HypsArythmie
Regression Dvlpmt Psycho-Moteur

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12
Q

Épilepsie du Nourrisson

2 syndromes

A

Sd de West

Sd de Dravet

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13
Q

West révèle :

A

Sclérose tubéreuse de Bourneville

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14
Q

TT > 5 min

  • dci
  • où
  • poso
A

Diazepam
Intra-Rectal
0,5mg/kg

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15
Q 
TT 
> 10min
- dci
- où
- poso
A

Clonazepam
IVL en hospit
0,05 mg/kg

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16
Q

Crise > 10min
Encore échec
-dci (2)
-où

A

Phénytoïne
PhénoBarbital
–> IV en réa

17
Q

Origine crise

  • frontale
  • occipitale
A 
Frontal = la Nuit
Occipital = Visuelle
18
Q

Épilepsies de l’Enfant
> 5 ans
(3)

A

Épilepsie Absence
Épilepsie Myoclinique Juvénile
EPCT (Épilepsie à Pointes Centro-Temporale)

19
Q 
Épilepsie enfant
Prono favorable (3)
A
  • Épilepsie-Absence
  • Épilepsie Myoclinique Juvénile
  • EPCT Épilepsie à Pointes Centro-Temporale
20
Q

Épilepsie-Absence

EEG

A

PO à 3 cycles / secondes

21
Q 
EPCT 
E. Pointe/Paroxysme Centro-Temporale
-frqce
-quand
-où
A

La ++frqte épilepsie chez enfant
++ la nuit
Focales = Oro-faciale

22
Q

Épilepsie-Absence

Prono

A

Prono fav

–> si TT !!

23
Q 
TT si (2)
Épilepsie généralisée idiopathique
A

1er crise + EEG anormal

24
Q

TT (3)

Épilepsie généralisée idiopathique

A

Lamotrigine (Lamictal)
Lévétiracétam (Keppra)
Valproate (Depakine)

25
Q

TT

Épilepsie Absence

A

Ethosuximide (Zarontin)

26
Q

Pas Valproate

A

CI Fille

mm si hors âge de procréer

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