Post-traumatic seizures Flashcards

1
Q

When do post-traumatic seizures occur?

A

usually in more severe traumatic brain injury

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2
Q

How are post-traumatic seizures sometimes managed?

A

AEDs are often used prophylactically

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3
Q

What intervention is key for post-traumatic seizures?

A

CT head

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4
Q

What should be done if haematoma is seen on head CT post trauma?

A

contact a neurosurgeon

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5
Q

What should you do for the management of a patient with post-traumatic seizures if there is no haematoma on head CT?

A

hourly neuro obs and reassess if reduced GCS

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6
Q

What are 3 types of traumatic brain injury which increase the risk of seizure significantly?

A
  1. Depressed skull fracture
  2. Penetrating injury
  3. Intracranial haemorrhage
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7
Q

Is the risk of seizures increased with mild brain injury?

A

no - not if loss of consciousness or post-traumatic amnesia <30 min

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8
Q

When can patients present with epilepsy following truama?

A

can occur sometimes years after the event

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9
Q

What are 2 types of perinatal brain injury which can cause early-onset epilepsy?

A
  1. Perventricular leukomalacia
  2. Brain haemorrhage associated with prematurity and fetal hypoxia
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10
Q

What proportion of cases of brain surgery is followed by seizures?

A

up to 17%

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11
Q

Is prophylactic anticonvulsant use after surgery recommended?

A

no

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