Seizures

Question 1

Types of brain waves

Answer 1

Alpha 8-13 Hz…..

Question 2

EEG

Answer 2

Alpha is dominant. Beta when we are concentrate, take hypnotics or sedatives. Theta is normally in children and in deep sleep. usually absent in adults. Delta ___

Question 3

Toxic Metabolic Encephalopathy

Answer 3

Tri-phasic waves.

Question 4

Creutzfeldt-Jacob Disease

Answer 4

Sharp waves

Question 5

EEG signs of Li Overdose

Answer 5

Sharp waves (Triphasic)

Question 6

Partial Epilepsies

Answer 6

With or without impairment of consciousness. Focal-motor seizures. After seizure, the affected limb will be weak. Can be sensory sx, Tingling, burning. Hallucinations. Smell burning rubber.

Question 7

Partial Complex

Answer 7

Most common. Late childhood or early adulthood. Mesial temporal sclerosis (most common). Can get aura with these sz. Consciousness is impaired; Memory loss and amnesia common; Sterotypical, repetitive movements of face or hands; Couple minutes. Post-ictal period. Can have aphasia or Todd’s Paralysis after sz. Need to use MRIs because they have higher resolution so you can look for things like Mesial Temporal Sclerosis and mini-strokes

Question 8

Meds that can cause sx

Answer 8

Wellbutrin above 400mg. Clomipramine;

Question 9

Tx

Answer 9

There is a list of meds. Keppra and Depakote are 2 good broad spectrum ones that can be used in most types.

Question 10

Phenytoin, Cabamazepine, and_______

Answer 10

Have a well known toxicity syndrome

Question 11

Generalized sz

Answer 11

Absence (3 Hz spike rhythm on the EEG) or Tonic-Clonic.

Question 12

Psychogenic nonepileptic sz

Answer 12

Somatic, factitious, or functional neurologic disorder.