Pathology

Question 1

What is the most common seizure in children and adults, originating from the temporal lobe, and in the majority of cases, no pathology is found?

Answer 1

Complex partial seizure

Remember a complex partial involves loss of consciousness whereas a simple partial seizure does not.

Question 2

The most common type of neuropathologic damage seen in individuals with Complex Partial Seizures

Answer 2

Hippocampal sclerosis

Question 3

This seizure type is a medical emergency and involves recurrent seizures that fail to cease and can result in permanent brain damage

Answer 3

Status Epilepticus

Question 4

Describe a febrile seizure

Answer 4

Seizure in children that only occurs in the presence of a fever. Focal or generalized and short duration

Must rule out bacterial meningitis

Question 5

What are the most common lesions seen in patients with generalized seizures? How common are they?

Answer 5

Congenital cerebral changes including: malformation, infarct, tumor, stroke, AVMs, trauma.

Surprisingly most generalized seizures show NO primary lesions by imaging or exam.

Question 6

What are some metabolic causes of seizure?

Answer 6

Uremia, ETOH, Drugs

Question 7

What vascular diseases can lead to seizure?

Answer 7

AVMs or stroke