Seizures

Question 1

criteria for epilepsy dx

Answer 1

2 UNPROVOKED seizures

Question 2

two types of partial seizures

Answer 2

simple (no LOC)

complex (+LOC/fluctuating awareness)

Question 3

seizure that begins in focal area of brain and do not impair awareness

Answer 3

simple partial

Question 4

simple partial seizures more associated with positive or negative symptoms?

Answer 4

positive

tingling, hallucinations

Question 5

electrical charge spreads along motor strip leading to rhythmic twitching that spreads along bdoy parts following organiziaton of the motor homunculus

Answer 5

Jackonian march

Question 6

Focal seizures with...
1) sensory 
2) visual
3) gustatory, olfactory, physcic
symptoms originate where?

Answer 6

sensory - parietal
visual - occipital
gustatory/olfactory/psychic - temporal

Question 7

examples of psychic phenomena from seizures

Answer 7

depersonalization (“out of body”)

deja/jamais vu

Question 8

which seizures are typically associated with automatisms

Answer 8

complex partial seizures

Question 9

where do complex partial seizures typically originate

Answer 9

temporal or frontal lobes

Question 10

grand mal seizures (formerly) most well known by public

Answer 10

generalized tonic clonic

Question 11

how do GTC seizures present

Answer 11

1) tonic phase - body stiffens, epileptic cry
2) clonic - repetitive rhythmic jerks for 1-2 mins, tongue biting, incontinence
3) post ictal phase - ranges from minutes to hours; patient is tired and confused

Question 12

What kind of seizure is absence

Answer 12

generalized

Question 13

unresponsive period staring that lasts several seconds with immediate recovery afterward. Can occur several times a day and usually first diagnosed by school teachers

Answer 13

absence seizures