Epilepsy Flashcards

1
Q

Which seizure would cause an infant in bed to be staring at the onset of attack before going unresponsive while having movement of upper and lower limbs?

A

Generalised tonic-clonic seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What would lead to a patient getting a CT scan in the acute setting?

A
  • Deteriorating GCS
  • Clinical or radiological skull fracture
  • Suggestion of SAH
  • Focal signs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the cause of an epileptic seizure?

A

Abnormal synchronisation of neuronal activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which generalised seizure almost always occurs in children?

A

Atonic seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What lobe is affected if there is:

  1. Sensory
  2. Psychic
  3. Motor disturbances?
A
  1. Parietal
  2. Temporal
  3. Frontal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of epilepsy presents with a spike-wave abnormality on EEG?

A

Generalised epilepsy (tonic clonic, absence, myoclonic, clonic, tonic and atonic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the treatment of choice for primary generalised epilepsy presenting in childhood?

A

Sodium valproate

- Lamotrigine is an alternative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A teen presents complaining of early morning jerks and generalized seizures, what is the likely epilepsy?

A

Juvenile Myoclonic epilepsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the treatment of choice for focal onset epilepsy?

A

Carbamazepine

- Lamotrigine as an alternative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a main risk about anti-convulsant use in females?

A

Some can induce hepatic enzymes and lead to altered efficacy of the combined oral contraceptive pill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly