kefalaio 24 epilipsia

Question 1

logoi epilipsias(ipermetri kai paroksismiki ekfortisi enos plithismou nevrwnwn)

Answer 1

idiopathes,aee (endoegkefaliko aimatwma), ogkoi egkefalou,piestika katagmata kak(metatravmatiki epilipsia) ,kataxrisi oinopnevmatos

Question 2

perioxi enarksis tou 80% twn estiakwn epiliptikwn krisewn

Answer 2

krotafikos lovos

Question 3

vlaves tou floiou apo anoksia ,flegmones i metavolikes diataraxes ti epilipsia kanoun

Answer 3

sinexis estiaki epilipsia

Question 4

poio sindromo apoteleitai apo tin triada: paidikoi spasmoi,diakopi tis psixokinitikis anaptiksis ,eikona ipsarithmias sto ieg

Answer 4

sindromo west

Question 5

sindromo Lennox Gastaut

Answer 5

anomalies ston metwpiaio lovo,genikevmenes kriseis,stin poreia ekdilwnete noitiki kathisterisi

Question 6

endeikseis epiliptikis krisis

Answer 6

osmi periergi,diksi glwssas ,apwleia ourwn ,tholwsi ipnilia ponokefalos

Question 7

eidiki epiliptiki eikona ieg

Answer 7

simplegma aixmis kimatos

Question 8

mri se epiliptikous

Answer 8

apotelesmatikoteri apeikonistiki methodo , diagnwsi sklirinsis tou esw tmimatos tou krotafikou lovou kai atrofia ippokampou

Question 9

poia farmaka antimetwpizoun tis estiakes kai defterogenws genikevomenes epiliptikes kriseis

Answer 9

fainintoini ,karvamazepini,fainovarvitali kai to valproiko oksi

Question 10

prwtopathis genikevmenes kriseis(aftes emfanizontai stin paidiki kai efiviki ilikia)

Answer 10

afereseis , mioklonies , tonikoklonikes

Question 11

prwtopathis genikevmenes kriseis therapeia

Answer 11

valproiko oksi,lamotrigini,topiramati(anastoleas karvonikis anidrasis)

Question 12

pote mporeis se epiliptiko na kaneis diakopi farmakevtikis agwgis ?

Answer 12

meta apo parodo trietias eleftheros krisewn

Question 13

pososto athektikwn morfwn epilipsias se farmaka

Answer 13

20-30%

Question 14

xeirourgikes texnikes gia therapeia epilipsias

Answer 14

afairesi floiodous estias,imisfairektomi, diatomi mesolobiou , topothetisi siskevis pou erethizei to pnevmonogastriko

Question 15

farmako gia kriseis aferesews

Answer 15

ethouksimidi

Question 16

parenergeies valproikou oksews

Answer 16

pagkreatitis, katastoli mielou twn ostwn ipatotoksikotita,tromos,avksisi varous,trixoptwsi kai oidima sfirwn

Question 17

aples estiakes xwrizontai se

Answer 17

aples estiakes me kinitiki simptwmatologia kai me aisthitiki simptwmatologia(ston krotafiko akoustikes -osfritikes)

Question 18

simplokes estiakes kriseis

Answer 18

diataraxi tou epipedou sindeidisis ,oxi tonikoklonikes sispaseis ,diakopi epikoinwnias kai amnisia gegonotos kai aftomatismous pou den thimate

Question 19

ieg se estiakes

Answer 19

rithmiki drastiriotita 5-7hzxwris aixmes ,aixmes kai aixmira kimata,entopismeni epivradinsi tou vasikou rithmou

Question 20

tonikoklonikes kriseis (grand mal meros genikevmenes)

Answer 20

1,asafis proeidopoiisi gia erxomo,2.(protoniki kloniki fasi)mioklonika tinagmata vraxeies klonikes kiniseis strofi kefalis kai ofthalmwn, 3.toniki fasi ksafniki toniki sispasi tou kormou kai akrwn diastoli koris kianwsi 4. kloniki fasi apwleia ourwn kai kopranwn, 5.metakritiki fasi o asthenis den antida alla anapneei

Question 21

ieg stis grand mal (tonikoklonikes)

Answer 21

simplegmata aixmis kimatos

Question 22

kriseis aferesis petit mal kai ieg

Answer 22

apotomi apoleia epafis me perivalon,diarkeia 5-10 sec ,sinodevete apo aftomatismous,,,simplegma aixmis kimatos 3hz

Question 23

poioi paragontes kanoun pio pithano na ksanasimvei epiliptiki krisi

Answer 23

otan iparxei nevrologiki disleitourgeia,otan itan estiaki ,otan emfanistikan epiliptikes ekfortiseis sto mesokritiko ieg