Neurology Flashcards
What is a seizure?
an abnormal surge of electrical brain activity
What are the types of generalised seizures’?
i. Tonic clonic
ii. Absence
iii. Myoclonic
iv. Tonic
v. Atonic
Which types of seizures have LOC?
GTC
Absence - transient
Complex focal
What is tonic phase
rigid
What is clonic phase
rhythmical contraction of limbs w irregular breathing, persisting cyanosis, saliva accumulation in mouth
Q
hOW long to GTCs last?
second to mins
What can precipitate absence seizures?
hyperventilation
what changes are seen in EEG in childhood absence epilepsy?
3HZ spike and wave
What is rx of childhood absence seizures?
valproate
ethosuximide
What is prognosis of absence seizure?
most outgrow it
10% have GTC as adults
when does BECTS usually occur?
night or early morning
What dos child complain of in BECTS?
tingling facial feeling
drooping
drooling (can look like a stroke)
What is panayiotopolous syndrome?
focal seizure syndrome (occipital) prominent autonomic features
What are features of pan syndrome?
pallor vomiting pupil dilatation sweating breathing changes
when does JAE start?
9-12yrs
