Seizures COPIED Flashcards

1
Q

Seizures definition

A

episodes of abnormal electrical activity in the brain that cause involuntary movements, sensations, or thoughts.

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2
Q

non-epileptic causes of seizures

A
  • head trauma (sub-dural haematomas)
  • stroke
  • brain tumours
  • hypoxia
  • hypoglycaemia
  • fever
  • chronic alcohol withdrawal
  • infections (sepsis, pneumonia)
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3
Q

Partial (focal) seizure.

Two types.

A

originates in one cerebral hemisphere.

Patient DOESN’T loss consciousness.

(a) Simple partial seizure; conscious not altered.
(b) complex partial seizure - altered consciousness and px exhibits repetitive behaviours.

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4
Q

generalized seizure

A

BOTH cerebral hemispheres.

LOSS of CONSCIOUSNESS

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5
Q

what can preceed a seizure?

A

a sensation or mood change

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6
Q

what are the type main types of generalized seizures?

A

(a) tonic-clonic (grand mal)

(b) absence (petit mal)

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7
Q

Clonic definition

A

Fast stiffening and relaxing of a muscle that happens repeatedly.

Repeated jerking.

The movements cannot be stopped by restraining or repositioning the arms or legs.

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8
Q

tonic

A

stiffening of all the muscles. back aches. person loses conscious and falls to the floor.

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9
Q

Myoclonic seizures

A

brief, shock-like jerks of a muscle or a group of muscles.

can be quite normal (eg. when falling asleep)

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10
Q

What kind of seizure activities are there?

A
  • motor
  • sensory
  • cognitive and psychic
  • autonomic disturbances
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11
Q

What is status epilepticus?

A

recurrent episodes of tonic-clonic seizures without regaining consciousness or normal muscle movement between episodes.

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12
Q

Seizures definition

A

episodes of abnormal electrical activity in the brain that cause involuntary movements, sensations, or thoughts.

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13
Q

non-epileptic causes of seizures

A
  • head trauma
  • stroke
  • brain tumours
  • hypoxia
  • hypoglycaemia
  • fever
  • chronic alcohol withdrawal
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14
Q

Partial (focal) seizure.

Two types.

A

originates in one cerebral hemisphere.

Patient DOESN’T loss consciousness.

(a) Simple partial seizure; conscious not altered.
(b) complex partial seizure - altered consciousness and px exhibits repetitive behaviours.

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15
Q

generalized seizure

A

BOTH cerebral hemispheres.

LOSS of CONSCIOUSNESS

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16
Q

what can preceed a seizure?

A

a sensation or mood change

17
Q

what are the type main types of generalized seizures?

A

(a) tonic-clonic (grand mal)

(b) absence (petit mal)

18
Q

Clonic definition

A

Fast stiffening and relaxing of a muscle that happens repeatedly.

Repeated jerking.

The movements cannot be stopped by restraining or repositioning the arms or legs.

19
Q

tonic

A

stiffening of all the muscles. back aches. person loses conscious and falls to the floor.

20
Q

Myoclonic seizures

A

brief, shock-like jerks of a muscle or a group of muscles.

can be quite normal (eg. when falling asleep)

21
Q

MOA of diazepam, lorazepam and midazolam

A

Facilitate GABA transmission that counteracts the excessive excitatory neurotransmission. (i.e. neural inhibiton)

“enhances GABA-mediated chloride flux”

22
Q

What is VITAL in management of epileptic fit?

A

maintain a patent airway

(may need to insert a nasophargyeal tube)

High flow oxygen

Check BM

23
Q

Cardinal differences between syncope and epileptic fits?

A

syncope has no post-ictal phase

no tongue biting with syncope

Syncope has a faster recovery period

24
Q

What could epileptic fits and syncope have in common?

A

they both may have myoclonic jerks (shaking), and even urinary incontinence.

25
Q

Tx for prolonged seizures

A

Intravenous Lorazepam or

Rectal Diazepam

and if no result

IV phenytoin (if not already on this drug).

BM check, regular neuro obs, GCS updated (drop of two point = serious)

26
Q

When is urgent CT scan required for epilepsy?

A
  • recent head injury
  • focal neurological deficit on examination
  • prior neurological symptoms
  • suspicion of meningitis
  • status epilepticus or or prolonged unconsciousness