Seizures/Syncope Flashcards

1
Q

epilepsy is defined as

A

2 or more unprovoked seizures and ti is fairly commen.

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2
Q

what kind of seizures are best detected on a single EEG

A

petit mal

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3
Q

percent positive for epilepsy with 3 sleep deprived EEGs:

A

85%

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4
Q

although the EEG is an important tool in the dx of eplilepsy, the single most important information is

A

history of the events, preferably by a witness.

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5
Q

What are the two broad categories of seizures

A

partial and generalized seizures

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6
Q

define a partial seizure, and what specific types of seizures does that encompass

A

seizure activity begins on one side of the brain

simple partial
complex partial
secondarily generalized (partial onset)

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7
Q

define a generalized seizure, and what specific types of seizures dos that encompas

A
seizure activity primarily starts on both sides
absence
tonic-clonic
myoclonic
tonic
clonic
atonic
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8
Q

different seizures?

A

different drugs

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9
Q

seizures and the localizing side

A

If there is too much electrical activity on the Right, it pushes activity to the L.. see weird things on the L. (so eyes drift to the left, head turns to the left) This differs from stroke.

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10
Q

focal motor or sensory activity NO LOC, last seconds, no post ictal state

A

simple partial seizure

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11
Q

nonresponsive staring, possible preceding aura, automatisms, LOC, lasts 1-3 min, post ictal state

A

complex partial seizure

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12
Q

b/l tonic-clonic activity, LOC, lasts 1-3 min, postictal state, spreads

A

secondary generalized seizure

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13
Q

non responsive staring, rapid blinking, chewing, clonic hand motions, LOC, lasts 10-30 sec, no postictal state

A

Absence seizure

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14
Q

b/l extension followed by symmetrical jerking of extremities, LOC, lasts 1-3 min, postictal state

A

tonic clonic

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15
Q

sudden loss of muscle tone, head drops, pt collapses LOC variable duration, post ictal state

A

atonic

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16
Q

breif rapid symmetrical jerking of extremities and/or torso, LOC lasts

A

myoclonic

17
Q

partial/secondary generalized drugs

A

phenytoine, carbamazepine, valproate, phenobarbital gabapentin, lamotrigine, topiramate, gabatril oxcarbasepine, leviteracetam, zonisamide, lacosamide, perampanel, vigabatrin

18
Q

Drugs tath overlap that treat partial onset and primary generalized

A

valproate and lamotrigine

19
Q

older drugs come w/ baggage

A

bone loss, gum thickening, cognitive side effects

20
Q

newer drugs

A

in general as efficacious, but fewer side effects

21
Q

primarily generalized drugs

A

ethosuxamide, valproic acid, lamotrigine, leviteracetam, zonisamide, perampanel

22
Q

status epilepticus

A

condition characterized by prolonged seizure, generally greater than 10 minutes, or repeated seizures without recovery in between.

23
Q

General principles in the treatment of pt with epilepsy

A

try to use monotherapy
consider drug interactions (OC’s with carbamaezepine)
consider long term side effects (bone loss w/ carbamazepime or phenytoin)

24
Q

women and epilepsy

A

valproate bad

AEDs are folate depleting.

25
Q

Syncope vs seizure

A

Syncope
=LOC that isn’t a seizure.
pallor, sweating, abnormal head sensation, lightheadedness, positionally related, slow onset. breiv unconsciousness

Seizure
=urinary or bowel incontinence, tongue injury, tonic/clonic movements, postictal state, may or may not have warning.