epilepsy Flashcards

1
Q

what is an epileptic siezure

A

transient occurrence of signs or symptoms due to abnormal excessive neuronal activity in the brain

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2
Q

what are the diff types of seizures

A

myoclonus

epileptic spasms

clonic

tonic

gelastic

behaviour/emotional change

sensory seizures

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3
Q

diff between generalised and focal seziure

A

generalised =involve neurons on both sides of the brain at the outset

focal - start on one side of the brain

previously called partial seizures

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4
Q

what could a siezure look liken

A

daydreaming

boredom

preoccupation

inattention

sensory overload

syncope (fainting)

tics

functional

sleep phenomena

cataplexy or narcolepsy

stiffening from raised icp or hypoxia

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5
Q

main classification of seizures

A

focal onset

generalised onset

unknown onset

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6
Q

diagnosis of seizures

A

eeg

history

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7
Q

syncope =

A

sudden fainting

fallen to the ground

jerked muscles and eye rolling

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8
Q

clonic seizure

A

sudden repeated /rhythmic jerking movements of the face and link that cannot be stopped

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9
Q

benign neonatal sleep myoclonus

A

jerking whilst baby is asleep

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10
Q

epileptic spasms

A

over 1 yr olds = affected

sign of genetic or metabolic disease or structural brain disease

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11
Q

non epileptic attack

A

an emotional response to something

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12
Q

reflex anoxic sezure

A

provoked by a sudden distressing stimulus

loss of consciousness followed by stiffening and brief clonic movements affecting some or all limbs

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13
Q

tonic seizures

A

stiffening / muscle tone increases

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14
Q

atonic seizures

A

sudden loss of muscle tone

patient falls / floppy

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15
Q

describe focal seizure

A

impairment of conciousness but no stiffening or shaking

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16
Q

describe galactic siezure

A

an odd laugh

associated with brain tumourse

17
Q

epilsepsy=

A

recurrent seizures

18
Q

causes of epilsepsy

A

injury tot he brain in the womb or after birth

infection

trauma

operations

drugs

stroke

genetics

metabolic conditions

genetics

19
Q

how does a disc look in epilsepsy

A

a cherry red macula

20
Q

visual clinical signs of epilepsy

A

round primary collared blobs

vomiting /paleness

21
Q

treatment of epilpesy

A

antieplipeptc drugs

education

sx to isolated or remove affected areas

ketogenic diet