Epilepsy Flashcards
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?
Generalised tonic-clonic seizure
What would lead to a patient getting a CT scan in the acute setting?
- Deteriorating GCS
- Clinical or radiological skull fracture
- Suggestion of SAH
- Focal signs
What is the cause of an epileptic seizure?
Abnormal synchronisation of neuronal activity
Which generalised seizure almost always occurs in children?
Atonic seizures
What lobe is affected if there is:
- Sensory
- Psychic
- Motor disturbances?
- Parietal
- Temporal
- Frontal
What type of epilepsy presents with a spike-wave abnormality on EEG?
Generalised epilepsy (tonic clonic, absence, myoclonic, clonic, tonic and atonic)
What is the treatment of choice for primary generalised epilepsy presenting in childhood?
Sodium valproate
- Lamotrigine is an alternative
A teen presents complaining of early morning jerks and generalized seizures, what is the likely epilepsy?
Juvenile Myoclonic epilepsy
What is the treatment of choice for focal onset epilepsy?
Carbamazepine
- Lamotrigine as an alternative
What is a main risk about anti-convulsant use in females?
Some can induce hepatic enzymes and lead to altered efficacy of the combined oral contraceptive pill