Test One Flashcards

1
Q

What are the 4 peaks of seizures?

A

1) first two years in life
2) age of puberty
3) young males (adrenaline)
4) over the age of 65

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2
Q

5 congenital diseases that might cause epilepsy

A

1) Porencephaly
2) Hydrocephalus
3) Tuberous Sclerous
4) Malformations
5) Anoxia at birth

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3
Q

3 clues that make you suspect symptomatic seizures

A

1) over 20 years old
2) seizures = focal
3) abnormal neurological signs between seizures

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4
Q

3 inflammatory diseases that cause epilepsy

A

1) Meningitis
2) Syphilis
3) Encephalitis

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5
Q

After the age of 20 what is the major suspicion for the cause of the seizures?

A

Brain tumor

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6
Q

3 vascular diseases that may contribute to epilepsy

A

1) cardiac arrest
2) pulmonary arrest
3) cardiopulmonary arrest

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7
Q

3 metabolic diseases that might cause or contribute epilepsy

A

1) hypocalcemia
2) hypoglycemia
3) PKU

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8
Q

Degenerative disease that might contribute to epilepsy

A

Alzheimer’s disease

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9
Q

Two forms of seizures in idiopathic epilepsy

A

Generalized tonic clinic and absence seizures

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10
Q

4 things the EEG is used for in the diagnosis of epilepsy

A

1) Assisting in determining the correct diagnosis
2) locating the epileptogenic area
3) determining the presence or absence of brain damage
4) effectiveness of anticonvulsant therapy

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11
Q

If a patient has a focal seizure in which he has twitching of just his legs, what would the EEG look like and what electrode would be primarily involved?

A

Focal theta or delta, sharp focal waves around CZ

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12
Q

Epilepsia partialis continua is focal muscle activity that persists longer than ____ minutes

A

30

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13
Q

Describe the EEG of epilepsia partialis continua

A

Continuous spikes, sharp waves, theta and slowing delta over corresponding cortex

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14
Q

Clinical picture of a patient during a Jacksonian March seizure

A

Twitching of mouth, toe and arm. May progress involving more and more muscles on the same side of the body as the discharges spread up and down the motor strip

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15
Q

Where does seizure activity originate in adversive seizures?

A

Mid portion of the frontal lobe

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16
Q

Describe the EEG with an adversive seizure

A

Rhythmical slowing, becoming very widespread/ variable with spike activity

F3 and F4

17
Q

Define epilepsy

A

A paroxysmal disturbance of CNS function, which is recurrent, stereotyped in character and associated with excessive neuronal discharges

18
Q

Automatism

A

More or less coordinated involuntary motor activity occurring during the state of clouding of consciousness

19
Q

Partial seizure with auditory sensory symptoms is where?

A

Temporal

20
Q

Partial seizure involving special visual sensory symptoms

A

Hallucinations, flashes of light occipital posterior temporal spikes

21
Q

Another name for olfactory

A

Uncinate fits/ mid temporal

22
Q

Postural seizure left arm forward

A

Variable with focal spike activity in corresponding motor cortex RIGHT c4