Seizures/Epilepsy - Unit 3 Flashcards

1
Q

Children with idiopathic seizures - typically, they are never seizure free. T/F?

A

FALSE - they are typically seizure free after about 20 years.

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2
Q

What is a seizure?

A

It’s a neural problem - continual, uncontrolled electrical discharge.

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3
Q

What is a primary (idiopathic) seizure?

A

This is a seizure with an unknown cause.

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4
Q

What is a secondary seizure?

A

It is a seizure of known cause, like an injury or meds, etc.

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5
Q

Most of the people with seizures who are over the age of 30 - they are caused by meds, trauma, etc. T/F?

A

True

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6
Q

To be diagnosed with a seizure disorder, you need to have __ or more seizures in a period of time.

A

2

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7
Q

70-80% of people with seizures are controlled with medication. The rest aren’t. They might get a vagus stimulator or something. T/F?

A

True!

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8
Q

What are the three types of generalized seizures? And what does generalized mean?

A

Generalized means when it affects the whole body.

Generalized Tonic Clonic (“Grand Mal”
Absenece (petit mal)
Myoclonic

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9
Q

What is a Generalized Tonic Clonic “Grand Mal” Seizure?

A

This is a BIG seizure - it’s the one with jerking and muscle stiffness.

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10
Q

What is an absence (petit mal) seizure?

A

Repetitive movements - they might also stare off into space. It is common in children.

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11
Q

What is a myoclonic seizure?

A

This comes across with stiffness - maybe one side over another.

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12
Q

What are focal seizures?

A

They happen in one area - one side twitching, etc.

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13
Q

How many types of seizures are there?

A

400-500 - most are congenital.

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14
Q

What are psychogenic seizures?

A

These are seizure’s that aren’t real. They might occur because of narcolepsy, tourette’s, etc. The people act like they are having a seizure but it doesn’t come up on the EEG.

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15
Q

Is it important to get a history with a seizure patient?

A

Yes, we need to know as much information about it as we can.

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16
Q

Why might we do a lumbar puncture with a seizure patient?

A

make sure they don’t have meningitis!

17
Q

Prolactin lab test - take how long after a seizure?

A

About 20 minutes after a seizure!

18
Q

Will seizure patients be on a lot of meds?

A

Yes!

19
Q

Babies of epileptic moms - what are they at risk for (the babies) ?

A

Cleft Palet

20
Q

Status Epilepticus -what is it?

A

A seizure that lasts for more than 5 minutes/the person has a seizure and doesn’t come back to a normal level.

21
Q

What are some other options for treatment that are medications?

A

Lesionectomy, lobectomy, multiple subpial transection, vagal nerve stimulator, deep brain stimulation.