Epilepsy And Pseudoseizure Management

Question 1

Epilepsy is an enduring liability to have what

Answer 1

Epileptic seizures

Question 2

Epilepsy is different in?

Answer 2

Each individual

Question 3

Types of seizure?

Answer 3

Generaliz d seizure

Partial seizure

Question 4

Explain partial and generalised seizure

Answer 4

Generalised: whole braininvolved at offset partial: restricted to one area of the brain

Question 5

Convulsive seizure is

Answer 5

Whole body seizures

Can include rapid, rhythmic and violent shaking moments

Question 6

Generalised seizures can be both

Answer 6

Convulsive (Tonic/clinic)

and non convulsive (absence/myoclonus/atonic)

Question 7

Partial seizures can be

Answer 7

Complex (change in consciousness)

Simple (no change in consciousness)

Partial seizure can evolve into generalised seizure

Question 8

When to treat for epilepsy

Answer 8

Powerful indicator of high risk of further seizures

If with a single seizure there are strong risk factors for another seizure then u treat

Question 9

Anti epileptic drugs prescribing guidelines

Answer 9

Introduce slowly
Start with low dose

Determine target dose

Make increments beyond initial target

Decide when to abandon

Serum drug levels of limited value

Question 10

AED prescribing risks whilst pregnant

Answer 10

Structural:
Interferes with organogenesis (1st trimester)

Functional: ultimate IQ low, may not be evident at birth or early childhood

Question 11

ARED prescribing : teratogenisis avoidance

Answer 11

For women of child bearing age 
Minimum effective dose 
Preferably mono therapy
Preferred: lamotrigine,levetricetam carbamazepine
Take folic acid 5mg/day

Minimise other teratogens e.g alcs, tobacco,drugs

Preconception counselling