ICM Epilepsy Flashcards
1) Compare and contrast Partial sz vs Generalized sz 2) Describe the risk factors for developing seizures 3) Identify the conditions that can mimic seizures Describe the work up of new seizure and what labs and tests need to be done Recognize and classify different seizure types Identify common epilepsy syndromes Perform initial evaluation of seizure patients Discuss available treatment options for seizures
defines epileptic syndrome
seziure type etiology EEG Inheritance Natural hx response to AEDs
types of simple partial seziures
somatosensory visual auditiory focal motor autonomic
common locus of simple partial seziures
post/pre central gyrus
sx of complex partial seziures
impairment of conciousness
formed halluciations
psychomotor phenomena
foci of complex partial seziures
frontal/parietal/temporal/occiptal lobe
risk factors for epilepsy
structural lesions degenerative disease head trauma CNS infections Perinatal insults EToH/drugs hypoxic/ischemic injury complex febrile seziures genetics
when to suspect seizures
brief events stereotypical occurence time automatisms post ictal state injuries
conditions mimicing epileptic seizures
pseudoseziures syncope TIA sleep disorder metabolic disturbances migrane
frequency of EEG used for seizure workup
3Hz
problems with traditional AEDs
narrow theraputic margin
long term side effects
drug interactions
advantages of newer AEDS
tolerability, ease of use, less interactiions, wider theraputic margin
seizure provoking factors
sleep deprivation
EtOH consumption
ilicit drugs and some medication
non compliace
things to avoid in seizure pts
driving, baths, heights, hevay machinery
factors increasing the risk of seizure recurrence
remote symtomatic abmornal MRI/EEG partial onset seizure abnormal neuro exam sibling with seizures
workup for seizure
MRI
EEG
Neuro exam
