Epilepsy: Continuum (Adult Focal Epilepsy) Flashcards

1
Q

3 anatomical areas of focal epilepsy in order of commonality

A

Temporal>frontal>parietal>occipital

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2
Q

Two types of temporal lobe epilepsy

A

Mesial and lateral (neocortical)

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3
Q

Risk factor for hippocampal sclerosis (atrophy/gliosis)

A

prolonged FS

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4
Q

Auras for mesial temporal (4)

A

psychic sensations (dv/jv), gastric rising sensation, fear, olfactory

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5
Q

Common ictal semiology for mesial temporal

A

ipsilateral hand automatisms

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6
Q

Lateral Temporal Lobe Epilepsy - three areas.

A

basal, lateral/perisylvian, and temporooccipital junction

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7
Q

Auditory auras and aphasic seizures indicate…

A

lateral temporal lobe epilepsy

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8
Q

Gene associated with genetic lateral temporal lobe epilepsy

A

LGI1 (leucine rich glioma inactivated 1)

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9
Q

Duration of Frontal Lobe seizures and pot-ictal state comparatively.

A

Shorter than temporal

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10
Q

6 anatomical areas of frontal seizures

A

primary motor, supplementary motor, dorsolateral, frontopolar and opercular regions

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11
Q

Unique Ictal Behavior for Perirolandic (1)

A

focal motor with/without jacksonian march

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12
Q

Unique Ictal behavior for supplementary sonsorimotor

A

asymmetric tonic (fencin posture

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13
Q

Unique Ictal behavior for Dorsolateral

A

tonic or clonic

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14
Q

Unique Ictal behavior for orbitofrontal

A

complex motor automatism, olfactory

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15
Q

Unique Ictal behavior for anterior frontopolar

A

forced thinking,absence like

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16
Q

Unique Ictal behavior for opercular

A

Mouth/Face

17
Q

Unique Ictal behavior for cingulate

A

emotional

18
Q

Which anatomical area is associated with rapid spread ?

A

Frontal

19
Q

Autosomal dominant nocturnal frontal lobe epilepsy: semiology and receptor involved

A

motor seizures at night (often misdiagnosed as parasomnias). Neuronal nicotinic acetylcholine receptor.