Neurology- Headache & Seizures Flashcards
1
Q
Symptoms of basilar migraine
A
aka: migraine with aura involving the brainstem.
Vertigo Dysarthria Diplopia LOC Typically filled by severe occipital headache.
2
Q
EEG of absence seizures
A
diffuse 3-Hz spike and wave pattern
3
Q
Differentiating between seizure and syncope
A
Postictal state (confusion, sleepiness, etc) seen with seizure. one patient regains consciousness in syncope they are immediately at baseline.
4
Q
Features seen with generalized seizures
A
Muscles stiffening Difficulty breathing (contraction chest wall muscles) Perioral cyanosis Tongue biting Urinary incontinence Preceding aura LOC& loss of postural tone
5
Q
Migraine prevention tx
A
Topiramate
Divalproex Sodium
TCA
Beta Blocker
6
Q
Migraine Abortive tx
A
Triptans NSAIDs Acetaminophen Antiemetics Ergotamines
