Seizures

Question 1

What is the criteria for epilepsy?

How many seizures and time

Answer 1

2 unprovoked seizures > 24 hrs apart

Question 2

Manifestations of simple partial seizures

Answer 2

Jacksonian March
Preferential gaze
Todd paralysis

Question 3

Automatism and warning signs are found in which type of seizures?

Answer 3

Complex partial seizure

Question 4

Primary focus of:

Complex partial seizures

Generalized seizures

Answer 4

Frontal and temporal lobe

Thalamus

Question 5

Eeg findings of absence seizures

Medication?

Answer 5

3-4 Hz slow spike and wave

Ethosuzimide & Valproic acid

Question 6

Which seizure is followed by post ictal fatigue and drowsiness?

Answer 6

Grand - Mal seizures (Gen tonic clonic)

Question 7

True or False

Febrile seizures are generalized

Answer 7

True

Question 8

Indications for lumbar puncture for febrile seizures

5 ans

Answer 8

All infants <6 months
ill appearing at any age
Def immunization for Hib and S. Pneumoniae
Prior Ab therapy

Question 9

Major rf for febrile seizures

Answer 9

Age <1 y/o
Fever < 24 hrs
38-39 deg

Question 10

Tx for epilepsy

Answer 10

None

Adj: intermittent oral diazepam

Question 11

Epilepsy syndrome w possible photosensitivity

Answer 11

Janz Syndrome (juvenile myoclonuc)

Question 12

Epilepsy syndrome w infantile epileptic spasm, developmental regression, hypsarrytia on eeg

Answer 12

West Syndrome (infantile spasm)

Question 13

Epilepsy Syndrome w triad of
Mental retardation
Multiple seizure types
Specific eeg abn (typical petit mal)

Answer 13

Lennox-gastaut syndrome