Seizures Flashcards
Rx tonic-clonic seizures
- males: sodium valproate
- females: lamotrigine or levetiracetam
Rx Focal seizures
first line: lamotrigine or levetiracetam
second line: carbamazepine, oxcarbazepine or zonisamide
Rx Absence seizures (Petit mal)
first line: ethosuximide
second line:
male: sodium valproate
female: lamotrigine or levetiracetam
carbamazepine may exacerbate absence seizures
Rx Myoclonic seizures
males: sodium valproate
females: levetiracetam
Rx Tonic or atonic seizures
males: sodium valproate
females: lamotrigine
For what type of Siezure is lamotrigine not first line for females?
Myoclonic seizures
Sx temporal lobe seizures
Aura - deja vu
Hallucination
Automatism- lip smacking
Sx of frontal lobe seizures
Head/ leg mvmts
Posturing
Jacksonian march
Sx parietal
Lobe seizures?
Paraesthesia
Occipital lobe seizures
Flasher/ floater
RX juvenile epilepsy
Keppra