Seizures Flashcards
Syncope or Seizure
Shorter loss of consciousness
Syncope
Most common seizure
type
Begins abruptly with initial tonic phase (rolling of eyes, moaning)
Premonitory phase then LOC tonic
clonic and postictal(confusion) phases
Generalized Tonic Clonic Seizure
Grand Mal Seizure
Diagnostic test if patient is suspected of CNS infection
Lumbar puncture
Conventional Treatment for Focal Seizure
Phenytoin, Phenobarbital, Carbamezapine, Valproic Acid
New Treatment for Generalized Tonic Clonic Seizure
Lamotrigine, Oxycarbazepine, Topimarate, Leviteracetam, Zonisamide
The most important diagnostic test for patients with epilepsy
EEG
Conventional Treatment for Absence Seizure
Vaplroic Acid, Ethosuximide
Syncope or Seizure
Typically with myoclonus jerks
Seizure
Syncope or Seizure
Less Common Myoclonus
Syncope
Syncope or Seizure
Can have urinary incontinence
Syncope
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
Atonic Seizure
Usually occur in children with normal
intelligence; brief duration, abrupt recovery, no postictal phase
*Brief loss of consciousness, sudden
blank stares, clonic movements, automatisms
Absence Seizure
Type of focal epilepsy
No impairment of
consciousness
Simple Partial Seizures
Syncope or Seizure
Less Muscle Ache Post Attack
Syncope
Syncope or Seizure
Autonomic manifestations rarely preceded by emotions or pain
Seizure
Type of Focal Epilepsy
impaired level of
awareness and consciousness, amnesia for event
Complex Partial Seizure
New Treatment for Myoclonic Seizure
Lamotrigine, Leviteracetam, Topimarate, Zonisamide
Infantile spasms,psychomotor
retardation and EEG hyparrhythmia
West Syndrome
Infantile Seizure
True or False
A normal EEG does not r/o epilepsy
True
Also called partial seizures; originates
from one hemisphere; may or may not have impaired consciousness (simple vs. Complex) r/o
space occupying lesion
Focal Seizure
Longer duration, less abrupt onset/ offset, more prominent loss of postural tone than typical absence seizure
*less abrupt onset, longer,
loss of postural tone**
Atypical Absence Seizure
**
Treatment for Status Epilepticus
IV Lorazepam ff by Penytoin
True or False
An abnromal EEG does not always mean epilepsy
True
Syncope or Seizure
Post ictal confusion
Seizure
Syncope or Seizure
Urinary and fetal consiousness
Seizure
New treatment for Absence Seizure
Lamotrigine, Topimarate
Conventional Treatment for Myoclonic Seizure
Valproic Acid, Clonazepam
Sudden brief muscle contractions
that involve one part or entire body.
Sudden generalized or focal muscle jerk
Myoclonic Seizure
Syncope or Seizure
> 5 mins loss of consiousness
Seizure
Seizure with these phases
Tonic Phase: Rolling of eyes, Moaning
Clonic Phase: Jerky Movement
Postictal Phase
General Tonic Clonic Seizure
Grand Mal Seizure
Conventional Treatment for Generalized Tonic Clonic Seizure
Carbamazepine, Phenytoin, Phenobarbital, Valproic Acid
Continued or recurrent seizure with unconsiousness for 20 or more minutes
Status Epilepticus
Syncope or Seizure
Autonomic manifestations preceded by pain or position change
Syncope
Conventional Treatment for Atonic/ Tonic Sezure
Valproic Acid
New treatment for Focal Seziure
Gabapentin, Tompimarate, Oxcarbazepine, Levitiracetam, Lamotrigine, Zonisamide
Diagostic for focal seizures (except if caused by hyperglycemia); intractable seizures; progressive neurologic disease or structural lesions that may warrant surgery
Cranial MRI or CT Scan
