Fits faints funny turns

Question 1

Childhood absence epilepsy

Answer 1

• 2-10 yo
• 5-20 secs
• abrupt offset

Question 2

How to provoke absent epilepsy

Answer 2

hyperventilation

Question 3

Childhood epilepsy with centrotemporal spikes (cects)

Answer 3

• 7-10 yo
• focal, most retain consciousness
• 1-2 mins
• speech arrest, hypersalivation
• half can generalise

Question 4

Juvenile myoclonic epilepsy

Answer 4

Adolescence
absences preceding
myoclonic jerks on awaking
- sleep deprivation

Question 5

Mx Juvenile myoclonic epilepsy

Answer 5

sodium valproate lifelong

Question 6

Mx of Childhood epilepsy with centrotemporal spikes (cects)

Answer 6

May not require treatment

Question 7

Breath holding attack

Answer 7

• LOC
• 12-18 mo up to 5yr
• ass Fe deficiency anaemia
• check FBC
• child looks blue/ cyanosed

Question 8

Reflex anoxic seizure

Answer 8

6mo - 2 yr

trigger: sudden unexpected pain/fear
- causes vagally mediated bradycardia/asystole
- child looks white/pale

Question 9

Psychological seizure

Answer 9

• more body jerking than limbs
• no LOC
• NEAD (non epileptic attack disorder)
• Panic attacks
• Temper tantrums

Question 10

Daydreaming

Answer 10

median age 8 year 
situational 
lack of eyelid movement
ass with attentional, learning or hearing difficulties
prolonged (vs absent seizure)

Question 11

Night terror

Answer 11

2-6 yo

max one per night

wake up into unconscious level

Question 12

Nightmare vs terror

Answer 12

mare- in REM sleep

terror - stage 4 delta sleep

Question 13

Narcolepsy

Answer 13

sudden irresistible urge to sleep
autoimmune
destroys erecsin keeps you awake
swine flu vaccine associsiated

Question 14

Tic disorder

Answer 14

• Episodes of involuntary arm twitching and grunting.
• No loss of consciousness
• Worse if anxious