Seizures and Spells

Question 1

Excessive excitability of reciprocal thalamocortical circuit causes ____

Answer 1

Absence seizures

Question 2

_____ hypothesis: inhibitory interneurons are inactive by some pathologic process.
Inhibitory feedback is lost.
Prolonged depolarization.

Answer 2

Dormant Basket Cell hypothesis

Question 3

T/F: Simple partial seizure presents with impaired awareness.

Answer 3

False. Retained awareness in simple partial

Impaired awareness in complex partial

Question 4

Epilepsy is defined by:

Answer 4

2 or more unprovoked seizures OR

Single unprovoked seizure w/ >60% likelihood of recurrence

Question 5

T/F: Febrile seizures commonly leads to epilepsy.

Answer 5

False. Febrile seizures does NOT lead to epilepsy.

Question 6

T/F: Normal EEG excludes diagnosis of epilepsy

Answer 6

False

Question 7

T/F: Consider medication withdrawal if seizure-free for at least 3 years.

Answer 7

False. 2 years

Question 8

T/F: Drug resistant epilepsy is defined by failure of 3 AEDs.

Answer 8

False. 2 AEDs

Question 9

Which of the following about Sudden Unexpected Death in Epilepsy is TRUE?
A. Most common in adults and elderly
B. Males are at higher risk

Answer 9

B

A. Common in adolescents and young adults