Seizure Disorders (2)

Question 1

What should be found out to get a good, detailed hx?

Answer 1

• Describe what you saw
• Video of the event?
• How long?
• Recurrence?
• Continuous or with breaks?
• Start with all of body or one part?
• Was the child aware?
• Aura?

Question 2

Epilepsy:
With focal seizures, what symptom indicates an occipital and temporal lobe seizure?

What are the types of generalised seizures?

Answer 2

➊ • Occipital lobe – Visual aura
• Temporal lobe – Strange smells

➋ Can be tonic, tonic-clonic, myoclonic, atonic, or absent

Question 3

Febrile Convulsions:
How many have another episode of this after?

How does it affect risk of epilepsy?

Answer 3

➊ 30-40%

➋ No significantly increased risk of developing epilepsy in future (~1%)

Question 4

West Syndrome:
What is it known as?

How does it present?

What is it associated with?

Answer 4

➊ Infantile spasms

➋ Myoclonic jerking occurring in clusters

➌ Developmental regression and high morbidity

Question 5

Benign Rolandic Seizures:
How does it present?

What’s is its prognosis?

Answer 5

➊ Tonic seizure overnight – May be noticed by parents if child makes noises or falls out of bed

➋ Most outgrow it around puberty and there’s no significantly increased risk of developing epilepsy in the future