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IM: Neurology > Seizures > Flashcards

Seizures Flashcards

1
Q

Syncope or Seizure

Shorter loss of consciousness

A

Syncope

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2
Q

Most common seizure
type

Begins abruptly with initial tonic phase (rolling of eyes, moaning)

Premonitory phase then LOC tonic
clonic and postictal(confusion) phases

A

Generalized Tonic Clonic Seizure

Grand Mal Seizure

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3
Q

Diagnostic test if patient is suspected of CNS infection

A

Lumbar puncture

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4
Q

Conventional Treatment for Focal Seizure

A

Phenytoin, Phenobarbital, Carbamezapine, Valproic Acid

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5
Q

New Treatment for Generalized Tonic Clonic Seizure

A

Lamotrigine, Oxycarbazepine, Topimarate, Leviteracetam, Zonisamide

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6
Q

The most important diagnostic test for patients with epilepsy

A

EEG

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7
Q

Conventional Treatment for Absence Seizure

A

Vaplroic Acid, Ethosuximide

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8
Q

Syncope or Seizure

Typically with myoclonus jerks

A

Seizure

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9
Q

Syncope or Seizure

Less Common Myoclonus

A

Syncope

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10
Q

Syncope or Seizure

Can have urinary incontinence

A

Syncope

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11
Q

Drop attacks lasting seconds;
consciousness briefly impaired but no postictal confusion

1-2 seoncd/s drop attacks limited or generalized, due to diffuse brain disease

A

Atonic Seizure

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12
Q

Usually occur in children with normal
intelligence; brief duration, abrupt recovery, no postictal phase

*Brief loss of consciousness, sudden
blank stares, clonic movements, automatisms

A

Absence Seizure

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13
Q

Type of focal epilepsy

No impairment of
consciousness

A

Simple Partial Seizures

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14
Q

Syncope or Seizure

Less Muscle Ache Post Attack

A

Syncope

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15
Q

Syncope or Seizure

Autonomic manifestations rarely preceded by emotions or pain

A

Seizure

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16
Q

Type of Focal Epilepsy

impaired level of
awareness and consciousness, amnesia for event

A

Complex Partial Seizure

17
Q

New Treatment for Myoclonic Seizure

A

Lamotrigine, Leviteracetam, Topimarate, Zonisamide

18
Q

Infantile spasms,psychomotor
retardation and EEG hyparrhythmia

A

West Syndrome

Infantile Seizure

19
Q

True or False

A normal EEG does not r/o epilepsy

A

True

20
Q

Also called partial seizures; originates
from one hemisphere; may or may not have impaired consciousness (simple vs. Complex) r/o
space occupying lesion

A

Focal Seizure

21
Q

Longer duration, less abrupt onset/ offset, more prominent loss of postural tone than typical absence seizure

*less abrupt onset, longer,
loss of postural tone**

A

Atypical Absence Seizure

22
Q

**

Treatment for Status Epilepticus

A

IV Lorazepam ff by Penytoin

23
Q

True or False

An abnromal EEG does not always mean epilepsy

A

True

24
Q

Syncope or Seizure

Post ictal confusion

A

Seizure

25
Q

Syncope or Seizure

Urinary and fetal consiousness

A

Seizure

26
Q

New treatment for Absence Seizure

A

Lamotrigine, Topimarate

27
Q

Conventional Treatment for Myoclonic Seizure

A

Valproic Acid, Clonazepam

28
Q

Sudden brief muscle contractions
that involve one part or entire body.

Sudden generalized or focal muscle jerk

A

Myoclonic Seizure

29
Q

Syncope or Seizure

> 5 mins loss of consiousness

A

Seizure

30
Q

Seizure with these phases

Tonic Phase: Rolling of eyes, Moaning

Clonic Phase: Jerky Movement

Postictal Phase

A

General Tonic Clonic Seizure

Grand Mal Seizure

31
Q

Conventional Treatment for Generalized Tonic Clonic Seizure

A

Carbamazepine, Phenytoin, Phenobarbital, Valproic Acid

32
Q

Continued or recurrent seizure with unconsiousness for 20 or more minutes

A

Status Epilepticus

33
Q

Syncope or Seizure

Autonomic manifestations preceded by pain or position change

A

Syncope

34
Q

Conventional Treatment for Atonic/ Tonic Sezure

A

Valproic Acid

35
Q

New treatment for Focal Seziure

A

Gabapentin, Tompimarate, Oxcarbazepine, Levitiracetam, Lamotrigine, Zonisamide

36
Q

Diagostic for focal seizures (except if caused by hyperglycemia); intractable seizures; progressive neurologic disease or structural lesions that may warrant surgery

A

Cranial MRI or CT Scan

IM: Neurology (5 decks)

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