Neuro Flashcards
Toddler crashes into a wall then goes limp and floppy, goes grey and tonic clonic. Lasts LESS than an minute
Reflexic anoxic attacks
Younger babies, throw they’re arms out and hips and flexed. Looks like colic. Less than 1.
Infantile spasms
Prognosis of infantile spasms.
Associated with Lennox-gaustalt, developmental regression (could use a knife and fork and now cant. Chaotic EEG. Learning difficulties, seizures will carry on, they’ll be on AEDs
West syndrome also associated with- epilepsy and learning difficultes
Tx for Lennox Gaustalt
Vigabatrin + prednisolone + ACTH
Teenagers who are clumsy, dropping their things, friends common. Worse in the morning!!! SO ask question. Also more common in girl.
Juvenile myoclonic epilepsy. They also have tonic clonic after alcohol or a late night. Trigger = flashing lights!!! This has 3 seizure types - myoclonic & tonic clonic AND absence.
Tx for juvenile myoclonic
Sodium valporate (epilem)
Prognosis for juvenile myoclonic
Most will grow out of it but a portion it persists
Which seizure type should you not give carbamazepine?
Absence
Age group for infantile spasms
0-1 year
Night time seizure
Benign rolandic epilepsy
Benign rolandic epilepsy
Awake, drooling and half of face twitching. Aphasia (can’t speak), drooling and unilateral twitching. Day seizures are rare
Age of BRE
5-12, peaks at 9. Resolves.
Poor school performance
Absence- they don’t remember
Positive family history
absence
How do you precipitate an absence?
Hyper ventilate, blow out.
Age group- absence
3-12
How long do absence last?
20 seconds
EEG picture of absence
3 hertz spike and wave abnormality
Child is fine then drops to the ground and doesn’t remember
atonic/drop attacks. They fall BACKWARDS
Breath holding attacks and reflexic anoxic differences
Post-ictal (feel tired afterwards) phase in reflexic anoxic
Onset of emotion or hallucination followed by lip smacking and nausea.
Temporal lobe epilepsy
Epilepsy history
How did it last? Less than 5 mins. only one episode in 24 hours, always 4 limb involvement and tonic clonic.
Explain epilepsy
Epilepsy is a condition which affects the brain. When someone has epilepsy it means they have a tendency to have seizures. Normally, in the brain impulses fire off one by one and we move etc but in epilepsy a lot of impulses to fire off all together and this is what causes the fit, jerkiness or loosing consciousness.
Explain epilepsy
Epilepsy is a condition which affects the brain. When someone has epilepsy it means they have a tendency to have seizures. Normally, in the brain impulses fire off one by one which sends commands to the body. During a seizure in epilepsy, a lot of impulses to fire off all together and this is what causes the fit, jerkiness or loosing consciousness.
It is a condition which we see a lot in childhood and actually most children with epilepsy will grow out of it.
There is no cure for epilepsy but there is treatment which i’ll go on to talk about later.
