epilepsy

Question 1

focal seizures: impaired consciousness

Answer 1

pt loose consciousness after aura or at seizure onset

post-ictal period

Question 2

focal seizure: w/o impairment consciousness

Answer 2

no loss consciousness

no post-ictal symptoms

Question 3

focal seizure features: temporal lobe

Answer 3

automatisms e.g. lip smacking
deja vu
emotional disturbance
olfactory, gustatory, auditory hallucinations

Question 4

focal seizure features: frontal lobe

Answer 4

motor features

• Jacksonian march
• dysphasia
• Todd’s palsy

Question 5

focal seizure features: parietal lobe

Answer 5

sensory symptoms - tingling and numbness

Question 6

focal seizure features: occipital lobe

Answer 6

visual symptoms - spots and lines in visual field

Question 7

Mx - generalised tonic clonic

Answer 7

1/ sodium valproate

2/ lamotrigine, carbamazepine

Question 8

Mx - absence seizures

Answer 8

1/ sodium valproate or ethosuximide

Question 9

Mx - myoclonic seizures

Answer 9

1/ sodium valproate

2/ lamotrigine

Question 10

Mx - focal seizures

Answer 10

1/ carbamazepine, lamotrigine

2/levetiracetam