Seizure/EEG 2

Question 1

Typical feature of epileptic activity in alcoholic pt w/ seizure 12hr after alcohol cessation

Answer 1

Multiple seizure episodes

Question 2

Distinguishing absence seizures from partial complex seizures

Answer 2

Absence seizures lack postictal manifestations

Question 3

Which procedure confirms dx of non-epileptic seizures?

Answer 3

EEG video telemetry

Question 4

Antiepileptic med for juvenile myoclonic epilepsy

Answer 4

Valproate

Question 5

Complex, partial seizures are differentiated from simple, partial seizures by?

Answer 5

Simple, partial seizures have no LOC. But simple, partial seizures have altered responsiveness to outside stimuli

Question 6

24 y/o pt w/ hx of epilepsy since childhood has several seizures in rapid succession.
Following seizures, pt develops paranoia and hallucinations, which resolve over a matter of days.
Dx?

Answer 6

Interictal psychosis

Question 7

Convulsive episode w/ L eye deviation and tonic contracture of L side.
Postictally, eyes deviate to R w/ hemiparesis of L side

Answer 7

Seizure focus R frontal region

Question 8

28 y/o F w/ HA, hyperventilating, ASYNCHRONOUS tonic-clonic seizure, and NO LOC during seizure.
Dx?

Answer 8

Psychogenic seizure

Question 9

In a young pt w/ epilepsy, tx depression w/

Answer 9

Prozac (fluoxetine)

Question 10

Why is there a relatively high rate of suicide in epileptics?

Answer 10

Comorbid psychiatric d/o

Question 11

Lack of prolactin elevation after seizures suggest?

Answer 11

Non-epileptic (psychogenic) seizures

Question 12

Drug addicted healthcare professional experiences seizure that is not a withdrawal phenomenon. What is the cause?

Answer 12

Meperidine

Question 13

Complex, partial seizure w/ aura has what symptom?

Answer 13

Lip smacking

Question 14

Head and eyes deviate to R and R arm extends immediately before a generalized tonic-clonic seizure.
Seizure focus?

Answer 14

L cerebral hemisphere

Question 15

Gustatory (taste) sensory seizures (auras) localize where?

Answer 15

Insular cortex

Question 16

Pt w/ episodes of altered behavior lasting 1-2 mins.
During episode, pt makes chewing mvmts. Pt has no recollection.
MRI - normal.
Dx?

Answer 16

Complex, partial seizure

Question 17

32 y/o pt reports AH of someone not present, then stops moving. Stares blankly, repetitively picks at clothing, and does not respond for several mins. Sxs resolve after 15 mins.
Pt has no recollection of events.
What type of seizure?

Answer 17

Complex partial

Question 18

16 y/o pt w/ new onset tonic clinic seizure. Jerky mvmts which cause him to drop objects.
EEG - polyspike pattern.
Which antiepileptic med?

Answer 18

Valproate