Seizures

Question 1

Gold standard investigation in diagnosis of Psychogenic non epileptic seizures
PNES

Answer 1

Video EEG

Question 2

What are high risk teratogenic antiepileptics

Answer 2

valproate(NTD) , carbamazepine(NTD) and topiramate

Question 3

What are low risk teratogenic antiepileptics

Answer 3

lamotrigine (facial cleft) , levetiracetam, clonazepam and gabapentin

Question 4

1st line tx in Generalised tonic clonic seizures

Answer 4

Valproate, lamotrigine, topiramate

Question 5

1st line tx in focal seizures

Answer 5

Lamotrigine, carbamazepine

Question 6

1st line tx in typical Abscence seizure

Answer 6

Valproate

Question 7

1st Line tx in atypical Abscence, myoclonic, Atonic seizures

Answer 7

Valproate

Question 8

When to stop antiepileptics in children

Answer 8

After 2 yrs of seizure free

Question 9

Definition of acute repetitive seizures

Answer 9

Epilepsy or acute symptomatic seizures with preserved consciousness
between seizures
• Proposed def. : >3 seizures within 24 hours for patients whose
habitual seizure frequency is < 3 seizures per day

Question 10

Tx of status epilepticus

Answer 10

5-20 mins: benzodiazepines( iv midazolam)
20-40 mins: iv phenytoin
40-60 min: 2nd line or thiopental

Question 11

Tx of Refractory status epilepticus (>120 mins)

Answer 11

General anasthesia : ketamine

Question 12

A patient with epilepsy wants to get his license back to drive, when is he allowed to get it back?

Answer 12

Must remain seizure free for a year before regaining driving license