Epilepsy Flashcards
1
Q
Temporal lobe focal symptoms
A
Automatisms Abdominal nausea/pain Dysphasia Memory phenomena Emotional disturbance (hippocampal involvement) Hallucinations (uncal involvement) Delusions
2
Q
Fontal lobe focal symptoms
A
Motor features Jacksonian seizure Motor arrest Dysphasia/speech arrest Post-ictal Todd's palsy
3
Q
Parietal lobe focal symptoms
A
Sensory disturbance Motor symptoms (spread to percentile gyrus)
4
Q
Occipital lobe focal symptoms
A
Visual phenomena
5
Q
Structural causes of seizure
A
Cortical scarring SoL Stroke Hippocampal sclerosis Vascular malformation
6
Q
Developmental abnormalities causing seizure
A
Cortical dysgenesis
Dysembrioplastic neuroepithelial tumour
7
Q
Metabolic causes of seizure
A
Na disturbance Hypercalcemia Glucose disturbance Uraemia Liver disease Drugs (TCAs, cocaine)
8
Q
3 questions when diagnosing a seizure
A
- Was it a seizure?
- What kind of seizure?
- What are the triggers/causes?
9
Q
What anti-epileptic drugs do you do blood monitoring for?
A
Phenytoin
Phenobarbital
10
Q
Anti-convulsant intoxication triad
A
Ataxia
Nystagmus
Dysarthria
11
Q
When to withdraw anti-epileptic medication
A
After 2 years seizure-free
12
Q
Treatment for Partial seizure
A
- Carbamazepine
- Lamotrigine
- Valproate
13
Q
Treatment for absence seizure
A
- Valproate
2. Lamotrigine
14
Q
Treatment for generalised Gran-mal seizure
A
- Valproate
- Lamotrigine
- Carbamazepine/Topiramate
15
Q
SEs Valproate
A
Appetite and weight gain Liver failure Pancreatitis Reversible hair loss (grows curly) Oedema Ataxia Tremor, thrombocytopenia, Teratogenic Encephalopathy (hyperammonaemia)
