Epilepsia - SF Flashcards

1
Q

Defina sindrome epileptica

A

Achados de EEG + apresentacao clinica compativeis

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2
Q

Qual alteracao eletrolitica causa crises convulsivas ?

A

Alteracoes do sodio

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3
Q

Quando iremos tratar crises nao provocadas?

A

Predisposicao a novas crises, >= 2 crises, sindrome epileptica estabelecida

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4
Q

Quais farmacos antiepilepticos de primeira geracao?

A

Fenobarbital, fenitoina, etosuximida, carbamazepina e valproato

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5
Q

Quais farmacos antiepilepticos de segunda geracao?

A

Lamotrigina, topiramato, vigabatrina, clobazam, oxcarbamazepina, levetiracetam, gabapentina, pregabalina

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6
Q

Quais farmacos antiepilepticos de terceira geracao?

A

Lacosamida

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7
Q

Fale da epilepsia de ausencia da infancia

A

Epilepsia generalizada, desencadeada por hiperventilacao, eeg com complexo espicula-onda a 3 hertz / tto - etosuximida ou valproaot

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8
Q

Fale da epilepsia mioclonica juvenil

A

!3-18 anos, crises mioclonicas, CCTCG, fotoestimulacao / epilepsia generalizada / tto valproato ou lamotrigina

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9
Q

Fale do estado de mal epileptico

A

Crise > 30 min, crises recorrentes sem recuperacao do nivel de consciencia >= 30 min / na pratica se crise > 5mi nou >2= crises sem recuperaaco do nivel de consciencia ja sao consideradas estado de mal epileptico

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10
Q

Tratamento de estado de mal epileptico

A

Diazepam EV 10-20mg&raquo_space; anticonvulsivante fenitoina EV 15-20mg/kg = fenobarbital EV ou acido valproico EV&raquo_space; sedacao midazola, propofol, pentobarbital

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11
Q

Qual a fisiopatologia da crise convulsiva

A

Abertura de canais ionicos > fosforilacao / Aumento de AMPA, aumento de NMDA-R e queda de GABA / Aumento de substancia P e queda de substancia Y

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