Seizures csv Flashcards

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1
Q

Brief lapses of consciousness with or without rapid eye blinking, slight head, and limb jerking in a child

A

Absence seizure

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2
Q

First line of therapy may include valproate, phenytoin, carbamazepine, phenobarbital, or newer agents (levetiracetam, oxcarbazepine, lamotrigine)

A

Tonic-clonic seizure

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3
Q

Sudden, brief muscle contractions; first line of therapy includes valproate and clonazepam

A

myoclonic seizures

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4
Q

Commonly mistaken as daydreaming in a young child

A

absence seizures

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5
Q

First line of therapy includes ethosuximide and valproate.

A

absence seizures

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6
Q

Loss of consciousness followed by loss of postural control, a tonic phase of muscle contraction, and clonic phase of limb jerking

A

Tonic-clonic seizures

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7
Q

Motor, sensory, visual, psychic, or autonomic phenomena with preserved level of consciousness

A

Simple Partial seizures

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8
Q

spike-and-wave pattern on EEG

A

Absence seizures

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9
Q

May be associated with cyanosis and urinary or fecal incontinence; increased serum prolactin during postictal period

A

Tonic-clonic seizures

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10
Q

Motor, sensory, visual, psychic, or autonomic phenomena with preserved level of consciousness

A

Simple Partial seizures

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11
Q

Motor, sensory, visual, psychic, or autonomic phenomena with diminished level of consciousness and/or postictal confusion

A

Complex partial seizures

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12
Q

Seizure interferes with a single neurologic modality (motor, sensory, or autonomic function) but does not cause loss of consciousness.

A

Simple Partial seizures

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13
Q

commonly involves the temporal lobe.

A

Complex Partial seizures

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14
Q

Lack of postictal state

A

absence seizures

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15
Q

Presents in infancy w/ sudden extensor/flexor trunk movements; psychomotor retardation; and disorganized high-voltage slow waves, spikes, and sharp waves on EEG

A

West syndrome (infantile spasms)

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16
Q

Tonic-clonic, generalized seizure occurring in children (6 months to 5 years) caused by fever

A

Febrile Seizures

17
Q

What is the treatment for febrile seizures?

A

Acetaminophen (no specific seizure treatment is indicated)

18
Q

Do most children with febrile seizures go on to develop epilepsy?

A

No - the risk is barely higher than in the general population.

19
Q

What are the causes of secondary seizures?

A
  1. CNS infection
  2. Trauma
  3. Stroke
  4. Drug withdrawal (eg, ethyl alcohol (EtOH), barbiturates, benzodiazepines, anticonvulsants)
  5. Toxins
  6. Metabolic (hypoxia, hypoglycemia, hyponatremia)
  7. Mass effect (from tumor or hemorrhage)
  8. Cerebral edema (malignant HTN, eclampsia)
20
Q

What is the treatment for status epilepticus?

A

ABC (airway, breathing, circulation)

  1. Roll patient on side to prevent aspiration
  2. IV diazepam or lorazepam and/or phenytoin