videos 87,88,102 Flashcards
epilepsy definition
two or more recurring unprovoked seizures
the most common seizure type in adults
complex partial seizures
the most common site of the epileptogenic
focus for partial complex seizure
medial temporal lobe
Is there a strong relationship between complicated febrile seizures during early childhood or infancy
and the later development of medial temporal lobe epilepsy?
yes
the most common abnormality seen on MRI images of the brain in patients with temporal lobe epilepsy
Mesial temporal sclerosis
Forced and sustained head deviation and dystonic posturing of the upper extremity often indicate a
ipsilateral or contralateral epileptogenic region?
contralateral
Unilateral upper extremity automatisms may predict an ipsilateral or contralateral seizure focus?
ipsilateral
Postictal dysphasia usually indicates a dominant or non-dominant hemisphere seizure?
dominant-hemisphere seizure.
consideration of anti-epileptics and birth control
Several AEDs, especially the enzyme-inducing ones, decrease the effectiveness of hormonal contraception.
considerations of anti-epileptics and pregnancy
take 1 to 4 mg of folic acid per day to prevent neural tube defects
convert to monotherapy- lowest effective dose
don’t change medications just for the teratogen risk
monitor pregnancy- amniocentesis, US, etc.
adjust drug levels due to PK changes
What should be given during the last
month of pregnancy if the patient is taking enzyme-inducing AEDs?
Vitamin K 10 mg per day
to prevent a hemorrhagic disease of the
newborn because these AEDs can decrease the vitamin K-dependent clotting factors.
radiation-induced plexopathy or a neoplastic plexopathy? Pain.
neoplastic
radiation-induced plexopathy or a neoplastic plexopathy? lower trunk lesion
neoplastic
radiation-induced plexopathy or a neoplastic plexopathy? upper trunk lesion
radiation-induced
radiation-induced plexopathy or a neoplastic plexopathy? Horner’s syndrome
neoplastic
