L10 Seizure Disorder Flashcards
What is epilepsy
Epileptic brain changes: reduced measures of axonal density in temporal lobe epilepsy.
What are seizures
Seizure brain changes: neuronal activity alterations from baseline through various seizure stages and back to baseline.
Types of Hyperexcitability
Ionic Balance and Membrane Gradients
Synaptic Transmission
Hypersynchrony
What is Ionic Balance and Membrane Gradients
sodium atpase dysfunction
Extracellular ion imbalance
Voltage gated cahnnel alterations
What is Synaptic Transmission
Over effective glutamate
Over effective GABA
Paradoxical Reaction
What is Hypersynchrony
too much aligning of neuron patterns
all firing at the same time
neurons have too much impact on eachother
Treatment for Epilepsy
lifestyle changes
diet (keto)
anti-epileptic drugs
re section
brain stimulation
Treatment success for epilepsy
33 controlled
33 challenged
33 refractory
Anti-epileptic Medication
Primarily decrease excitability
-NA channel blocking
-Enhance GABAegic activity
-Target voltage - gated calcium channels
Types of Seizures
Focal
Generalised
Focal Onset Seizure
Consciousness preserved or impaired
Motor - automatisms, atonic, clonic, spasms, hyperkinetic, myoclonic, tonic
Non Motor- automatic, behavioral , cognitive, sensory, emotional and sensory
Generalised Onset Seizure
Motor- tonic-clonic, clonic, tonic, myoclonic, myoclonic atonic, eyelid myoclonic
How are seizure diagnoses
EEG
Symptoms