Peds Neuro

Question 1

what causes febrile sz

Answer 1

rapid increase in temp over 101

Question 2

who gets febrile sz

Answer 2

usually under 5

Question 3

Blocks thalamic T-type

Ca2+ channels

Answer 3

Ethosuximide/ Zarontin

Absence sz

EFGHIJ—Ethosuximide causes
Fatigue, GI distress, Headache,
Itching, and Stevens-Johnson
syndrome

Question 4

Blocks Na+ channels; zero order kinetics

Answer 4

Phenytoin/ Dilantin

status epilip + all other sz

Question 5

Blocks Na+ channels

Answer 5

Carbamazepine

Common brands: Tegretol, Carbatrol, Equetro

Question 6

 Na+ channel inactivation,
 GABA concentration
by inhibiting GABA
transaminase

Answer 6

Valproic acid

Question 7

Blocks voltage-gated Na+

channels

Answer 7

Lamotrigine/ Lamictal

Question 8

Partial Sz: simple vs complex sz

Answer 8

simple: consciousness not impaired

complex = AMS

Question 9

what are infantile spasms

Answer 9

uncommon epilepsy, but very bad. TX ASAP w/ ACTH

myoclonic jerking
chaotic EEG- hypsarrhythmia

Question 10

Drop sz (fall and drop) is called

Answer 10

atonic

Question 11

5-HT agonists.
Inhibit trigeminal nerve
activation.
induce vasoconstriction.

Answer 11

Sumatriptan/ Imitrex.

Question 12

What is unique about pediatric pediatric migraine

Answer 12

ped= bilat, adult= uni
ped= 1 hour, adult= 4 hour

Question 13

Most common epilepsy in peds

Answer 13

benign epilepsy with centrotemporal spikes

benign= usually outgrow it

Question 14

s/s of benign epilepsy with centrotemporal spikes

Answer 14

gurgle/hypersalivation 
unilateral facial motor 
speech arrest 
normal consciousness 
most common epilepsy of kids, remission usually by 16