Focal(partial strokes) Flashcards
1
Q
What are the Focal(partial) strokes?
A
Simple
Complex
Secondary generalized tonic-clonic
Focal status epilepticus
2
Q
What is AURA?
A
Focal seizure Isolated or precede generalized seizure Déjà vu Fear Smell Smoke Wet dog An aura is a seizure and should be treated as a breakthrough seizure.
3
Q
How long does an aura last?
A
15-45 seconds not minutes
4
Q
What is odds paralysis?
A
Post ictal weakness following focal seizure that last minutes or hours Weakness Numbness Visual field defect Aphasia
5
Q
What is jacksonian march?
A
Focal seizure affecting motor strip
Starts in hand, progresses upward into arm
moves up the motor homunculus
6
Q
What is Psychogenic nonepileptic seizure (PNES?
A
Features Writhing, thrashing, pelvic thrusts, arched back, or rolling from side to side Forced eye closure >1 min No post ictal confusion/fatigue/headache History of abuse Psychiatric history