Seizures & EPILEPSY Flashcards
Difference BETWEEN EPILEPSY, SEIZURE & CONVULSION
✨ Convulsion: Uncontrollable shaking (Movement of Limbs)
✨ Seizures: Single Episode of Transient abnormal (OR) Excessive Hyper synchronous neuronal activity in Brain
Seizures can be
✨ Convulsive
✨ Non-convulsive: Absence seizures
⭐ EPILEPSY: Disorder of Brain characterizing by enduring predisposition to generate Epileptic Seizure
ILEA Classification of Seizures
Classical classification of Seizures
⭐ Ictal means
⭐ Mesial means
⭐ Ictal means
✨ Seizure related
⭐ Mesial means
✨ Directed towards midline of body
Intact Consciousness
➕
No Post Ictal Confusion
➕
Inte-ictal EEG NORMAL
➕
2° to cause
Simple Partial Seizure
Abdominal Aura
Feeling that food is regurgitating out
⬇️
Motionless stare
⬇️
Automatism movement
Causes of Focal Seizure
- Stroke
- Tuberculoma
- Trauma
Features of Simple Partial Seizures
🧠⚡JETA⚡
- Jacksonian march
- Epilepsy partialis continua
- Todd’s palsy
- Aura ➕: Sensory or Psychic Phenomena
Epilepsy Partialis Continua
Continuous Simple Partial Seizure which are lasting > 24 hrs
⭐ REFRACTORY TO DRUGS
Complex Partial Seizures: Features
🧠⚡3A⚡
- Aura ➕: Abdominal > Visual > Sensory
- Automatism (movement)
✨ Lip chewing
✨ Tongue Biting - Anterograde Amnesia
⚡⚡ MOST COMMON CAUSE OF COMPLEX PARTIAL SEIZURES
Mesial Temporal Lobe Sclerosis
EEG Findings in COMPLEX PARTIAL SEIZURES
U/L (OR) B/L Temporal Spikes
Abnormal Olfactory sensation is ASSOCIATED with which Partial Seizure
Complex Partial Seizure
MRI Findings of Complex Partial Seizure
- Hippocampal Volume Loss: Neuronal Loss, Small & Asymmetrical
- Hippocampal Hyperintensity: Gliosis
💊💉 MANAGEMENT of MESIAL TEMPORAL LOVE SCLEROSIS EPILEPSY
Hippocampectomy
⭐ REFRACTORY to AED
