Seizures

Question 1

What movement pattern is associated with:

frontal lobe epilepsy

Answer 1

Jacksonian movements - clonic movements/jerks that travel proximally (e.g. start in hand and move up)

Question 2

What movement/symptoms pattern is associated with:

Temporal lobe seizures

Answer 2

Temporal lobe seizures

aura, lip-smacking and clothes plucking/ picking /pl wyrywac/

Question 3

What symptom is associated with occipital lobe seizures?

Answer 3

Visual abnormalities

Question 4

What symptom is associated with parietal seizures?

Answer 4

Parietal lobe seizures -> Sensory abnormalities

Question 5

What’s Juvenile myoclonic epilepsy? What does it include?

Answer 5

Juvenile myoclonic epilepsy is a genetic generalised epilepsy syndrome including absence, myoclonic and generalised tonic-clonic seizures

Question 6

Benign rolandic epilepsy

• prevalence
• prognosis
• EEG appearance

Answer 6

Benign rolandic epilepsy

• seen more commonly in males
• most children grow out of it
• ​​centro-temporal spikes on EEG

Question 7

Postictal weakness is associated with what type of epilepsy?

Answer 7

Post-ictal weakness = Todd’s paresis

• focal weakness in all or parts of the body after a seizure
• usually with focal epilepsy

*if frontal - muscular weakness

Question 9

1st line treatment for generalised tonic-clonic seizures

Answer 9

Sodium Valproate

2nd line/alternatives: carbamazepine, lamotrigine

Question 10

1st line treatment (medical) for absence seizures

Answer 10

• sodium valproate or ethosuximide

Question 11

1st line treatment for myoclonic seizures

Answer 11

• sodium valproate
• 2nd line: clonazepam, lamotrigine

Question 12

1st line treatment for focal seizures

Answer 12

Focal seizures

• carbamazepine or lamotrigine
• second line: levetiracetam, oxcarbazepine or sodium valproate

Question 13

What types of seizures may carbamazepine exacerbate?

Answer 13

myoclonic and absence seizures