Neurology: Epilepsy KT Flashcards
focal impaired awareness seizure
Psychogenic non-epileptic seizures
What is the first-line treatment for tonic or atonic seizures (male patient)?
Sodium valproate
benzodiazepines
Most commonly first-line medication for focal seizures - lamotrigine or levetiracetam
Ethosuximide
tonic-clonic generalised seizure
focal impaired awareness seizure
Increased appetite and weight gain, alopecia, P450 enzyme inhibitor
P450 enzyme inducer, dizziness and ataxia, drowsiness, agranulocytosis, SIADH
Is most associated with which drug? [1]
carbamazepine
Benign rolandic epilepsy - a child has partial seizures that occur at night
infantile spasms
febrile convulsion
Carbamazepine - P450 enzyme inducer, dizziness and ataxia, drowsiness, agranulocytosis, SIADH
P450 enzyme inducer, dizziness and ataxia, drowsiness, gingival hyperplasia, coarsening of facial features
Lamotrigine - Stevens-Johnson syndrome
A young man with a history of epilepsy and learning difficulties is noted to areas of depigmented skin on his torso. He also has roughened patches of skin over the lumbar spine - tuberous sclerosis