Paeds Neuro Flashcards
Generalized tonic clonic seizure
Muscle tensing Muscle jerking Loss of consciousness Tonic before clonic Prolonged post ictal period
Tonic clonic seizure Mx
Sodium valproate
Lamotrigine for girls
Focal seizures
Start in temporal lobes
Hearing, speech, memory and emotions effected
Hallucinations
Memory flashbacks
Deja vu
Doing things on autopilot
Focal seizures tx
Carbamazepine
Lamotrigine for girls
Absence seizures
Blank for 10-20 sec
Typical in children
90% grow out of it
Absence seizures tx
Sodium valproate
Ethosuximide for girls
Atonic seizures
Drop attacks
Atonic seizures tx
Sodium valproate
Lamotrigine for girls
Myoclonic seizures
Bread muscle contractions while awake
Myoclonic seizure tx
Sodium valproate
Lamotrigine for girls
Valproate side effects
Weight gain Hair loss Liver failure Teratogenic Tremor
Carbamazepine side effects
Agranulocytosis
Aplastic anaemia
Rash
Ataxia
Liver enz induction so interferes with other medss
Lamotrigine side effects
Rash
SJS
Leukopenia
Ethosuximide side effects
N&V
Night terrors
Rashes
Phenytoin side effects
Folate and vit D deficiency so…
Megaloblastic anaemia
Osteomalacia