Seizure Flashcards
What is a seizure?
What is epilepsey
What is the definition of epilepsy now?
Why are we trying to using the term antiseizure?
Not all people who have seizures and epilepsey (Antiepileptic drug), no longer anticonvulsant medication because not all people who expeirence seizures get convulsions
What is the risk of recurrence for seizures?
What causes seizures?
Anything that disturbs the normal functioning of the cerebral cortex can cause seizures and if this abnormality is enduring it can result in epilepsy
The metabolic disorders, referrence to the inherited issues.
What types of infection can lead to seizures>
Any infection that leads to increase inflammation etc…
What immune conditions can cause seizures?
Auto immune disease that disrupt the brain
What is the patho for seizures?
Alteration of voltage gated ion channels
What is an example of excitatory seizure activity?
Where we take away alcohol, glutamate is super high and leads to increased neurotransmission
What is hypersynchrony?
Many of the ASMs target ____ of the possible causes of seizures.
1+
What is the impact on patients lives?
What are the various classification of seizures?
Not all ASMs treat all seizures types and some drug can _______ when used for the incorrect seizure type
worsen seizures
What are the three classifications of seizures?
Focal, generalized, unknown
What are focal seizure classifications?
Originiate within networks limited to one hemisphere
What are the seizure type: generalized
Orginaites at some point within and rapidly engaging, bilaterally distributed netowkrs
What are the seizure type: unknown
Reflects the difficulty to classify unwitnessed seizures and those that occur while the patient is asleep
Tonic seizure
Atonic Seizure
For focal onset what is the next classificaiton?
Aware or impaired awareness
What is the most common type of seizure class?
focal onset 70%
Many of the drugs that we use are based on the ))) language
Old
What are focal seizures?
What are generalized seizures?
Ca
Can focal transition to generalized?
Yes
What is Status epilepticus?
Any seizure that does not stop wihtin 5 minutes should be _____ as ___
treated, impending status epilepticus
Seizures lasting longer tahn 5 minutes or repetitive seizures are
treated as SE to prevent consequences and increase response to tx
What is generally the on demand BZD given in adults?
Lorazepam 1-2mg sublingual
In pediatrics what is generally used to reduce risk of progression to status epilepticus?
In infants what is generally used to reduce risk of progression to status epilepticus?
Rectal diazepam
What is Post-ictal symptoms?
Ella confused why she is in a suitcase
What is the diagnosis for epilepsey?
Physical/neuro
History***
Diagnostics like EG CT MRI labwork
Rule out that seizure is not drug induced
What medication classes can increase Sz risk?
