Seizure Syndrome Flashcards
Paroxistic exacerbation of a specific cortical function:
Seizure
Paroxistic Motor Exacerbation:
Convulsion
Neurological disorder characterized by 2+ spontaneous seizures over 24h range:
Epilepsy
Post-crisis period characterized by dysfunction of the cerebral area affected:
Post-ictal State
Seizure associated to infection, metabolic, electrolytes, intoxication, abstinence and Stroke:
Secondary Seizure
Seizure initiated in childhood and with familiar cases:
Primary Seizure
Trigger factors:
Light stimulation, Hyperventilation and Sleep deprivation
Most common Seizure Syndrome:
Febrile Convulsion
Epileptic crisis associated to fever, without intracranial infection or a defined neurologic cause:
Febrile Convulsion
Fever + Unique/isolated generalized tonic-clonic seizure for 5min:
Simple Febrile Convulsion
Fever + Focal crisis and/or +15min and/or recurrent in less than 24h and/or with post-ictal neurologic manifestations:
Complex Febrile Convulsion
Indications of Lumbar puncture in Febrile Convulsion:
Age -2 months
Treatment of Febrile Convulsion:
Diazepam 0,3mg/kg/dose EV, pure and slowly
Seizure initiated in age 4-13 years old:
Benign Rolandic Epilepsy of Childhood
Prognostic of the Benign Rolandic Epilepsy of Childhood:
Disappear in adulthood
Absence Seizures in childhood:
Petit Mal Seizure
Petit Mal Seizure association with Grand Mal Seizure:
30-50% of cases
Generalized tonic-clonic seizure that are not preceded by partial crisis:
Grand Mal Seizure
Slow spike-wave complexes in 3Hz frequency:
Petit Mal Seizure
Myoclonic crisis in the morning in age 8-20 years old:
Myoclonic Juvenile Epilepsy
Brief Post-ictal state:
-30min
Prolonged Post-ictal state:
+30min
Example of a Cryptogenic Epilepsy:
Temporal Lobe Epilepsy
Epilepsy with hippocampal sclerosis:
Temporal Lobe Epilepsy
Most Common Seizure Syndrome in adults (40%):
Temporal Lobe Epilepsy
Mixed seizures with mental retardation and childhood encephalopathy:
Lennox-Gestaut Syndrome
Indications of cranial CT scan and MRI in adults:
Always
Petit Mal Seizure Treatment:
Etossuximida ou Valproato
Petit Mal Seizure + Grand Mal Seizure Treatment:
Valproato
Grand Mal Seizure Treatment:
Carbamazepina ou Valproato
Seizure caused by an identified cause:
Acute Symptomatic Seizure
One or more seizures that occur in 24h:
Single Crisis (Isolated)
Age most affected by Epilepsy:
First year of life or after 70 years old
Classification of Epilepsy:
Focal and Generalized