Epilepsy Flashcards

1
Q

What is the leading cause of epilepsy?

A

Idiopathic

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2
Q

If a seizure begins with focal features, what is it called?

A

Partial seizure (regardless of how quickly it generalises)

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3
Q

Primary generalised seizures are commonest amongst which age group?

A

Childhood - teens

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4
Q

What are the 4 indications for an EEG to be carried out?

A

1) Classification of epilepsy
2) Confirmation of non-epileptic attack
3) Surgical evaluatin
4) Confirmation of non-convulsive attack

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5
Q

What medications are advised in focal onset seizures?

A

Carbamazepine or lamotrigine

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6
Q

In women taking anticonvulsant medication, what 3 points should be discussed with them particularly?

A

1) Teratogenicity risk
2) Reduced efficacy of OCP; requires higher dose of oestrogen (POP deemed not effective)
3) Morning after pill; require higher dose

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7
Q

If epileptic attacks occur whilst the person is awake and there is an associated loss of consciousness, what implications does this have for their driving licence?

A

Taken away; reapply if seizure free for 1yr.

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8
Q

If a one-off seizure occurs whilst awake and there is an associated loss of consciousness, what implications does this have for their driving licence?

A

Taken away; reapply in 6mths if no seizures in that time AND DVLA’s medical advisors decide there is not a high risk you will have another seizure.

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9
Q

If epileptic attacks while asleep coincide with awake attack, what affect does this have on the individuals driving licence?

A

3yrs seizure free before they can reapply for their licence

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10
Q

What is status epilepticus?

A

Recurrent epileptic seizures without full recovery of consciousness.

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11
Q

What is the initial management of status epilepticus?

A

Midazolam 10 mg IM, if >40kg; if <40kg, 5mg

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