Seizures

Question 1

Fosphenytoin

Answer 1

Given with lorazepam for status epilepticus

Question 2

What is most reliable finding to differentiate epileptic seizure and syncope?

Answer 2

Tongue biting is highly specific for epileptic seizure, particularly lateral tongue

Question 3

Which antiepileptics can cause DRESS (drug reaction with eosinophilia and systemic symptoms)?

Answer 3

Lamotrigine
Carbamazepine

Would see macular rash, respiratory distress, confusion

Question 4

Diffuse 3-hz spike and wave pattern

Answer 4

Childhood absence seizures

Question 5

Juvenile myoclonic epilepsy - features

Answer 5

Adolescents - myoclonic jerks on wakening
Can see absence or generalized seizures as well

Question 6

Absense seizure vs temporal lobe epilepsy

Answer 6

Absence is shorter (<20s) with no postictal state and mostly in children

Both can have automatisms

Question 7

In children with seizure, what else should be given if fever?

Answer 7

Lorazepam should be added to levetiracetam