L6. Epilepsy Flashcards

1
Q

3 things which can induce a seizure

A

head injury
fever
low BG

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2
Q

sxs vary on 2 factors

A
  1. site of brain where seizure is

2. areas where seizure moves to

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3
Q

3 types of seizure - dependin on site in brain

A
  1. focal onset
  2. generalised onset
  3. unknown onset
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4
Q

4 types of generalised onset

A
  1. myoclonic
  2. tonic
  3. clonic
  4. atonic
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5
Q

2 types of seizure - dependent on level of consiousness

A
  1. focal aware

2. focal impaired awareess

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6
Q

seizure which strarts in one hemisphere of brain

A

focal onset

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7
Q

seizure which strarts in both hemisphere of brain

A

generalised onset

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8
Q

which seizure - consciousness impaired

A

focal impaired awareness

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9
Q

in terms of all generalised seizures - what level of consoucness do they have

A

focal impaired awareness

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10
Q

which seizure type of preceded by unpleasant taste smell

A

focal aware

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11
Q

which type of seizure results in lip smaking, tearing of clothing

A

focal impaired aware

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12
Q

what can focal seizures develop into if they spread throughout the brian

A

bilateral tonic-clonic seizures

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13
Q

which is the most common type of seizure

A

tonic clonic

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14
Q

3 characteristics of tonic clonic seizures

A
  1. sudden loss of consciousness
  2. muscle ridigity
  3. jerking of limbs
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15
Q

which type of seizure is most common inc hildren

A

absence

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16
Q

what is a myoclonic seizure

A

brief muscle contractions

17
Q

what is a tonic seizure

A

muscle contraction/ridigity

18
Q

what is a clonic seizure

A

rhythmic contractions

19
Q

what is an atonic seizure

A

drop attacks - muscle relaxation

20
Q

what is SUDEP

A

sudden unexpected death in epilsepy

21
Q

4 other neurological sxs - differential diagnosis

A
  1. hypoglycaemia
  2. syncope
  3. psuedoseizures
  4. tranient ischaemia attacks
22
Q

type of test to diagnose

23
Q

2 tests to identigy underlying causes

24
Q

3 non-pharmacological treatments

A
  1. surgery
  2. vagus nerve stimulation
  3. ketogenic diet
25
when is surgery done?
focal epilsepy
26
example of long established anti-epileptic drug
carbamazepine
27
3 example of newer anti-epileptic drug
Gabapentin pregabalin Vigabatrin
28
1st choice of drug for tonic, clonic, absence, myoclonic seizure
sodium valproate
29
1st choice if drug for partial/focal seizyre
lamotrignine
30
drug interaction with AED
hepatic inhibitors
31
can pregnanct women who take AED breastfeed?
yes
32
should pregant women taking AED continue with their medication
yes
33
mechanism of action for gabapentin
acts on Ca2+ channels - inhibtis release of NT