Module 5 - Part 2

Question 1

Stage where Symptoms starts to appear
May start days before the Seizure happens

Answer 1

Prodromal Stage

Question 2

Stage where it begins before seizure “Warning Sign”
Common in focal seizures and TCS

Answer 2

Aura Stage

Question 3

Warning Signs of Aura Stage

Answer 3

• Altered vision
• Hearing anxiety
• Dizziness
• Inability to speak
• Sudden weird smell
• Déjà vu

Question 4

It is the seizure phase
Last 1-3 mins (> 5 mins for status epilepticus)
May lead to permanent brain damage or death

Answer 4

Ictus Stage

Question 5

DOC for Ictus stage

Answer 5

intramuscular Midazolam
IV lorazepam
IV diazepam

Question 6

After seizure stage
Brain recovery stage

Answer 6

Post Ictus

Question 7

Diagnosis for Epilepsy

Answer 7

Examination
EEG: Electroencephalogram (most used for epilepsy)
MRI: Magnetic resonance imaging (temporal lobe)
CT-Scan
PET-Scan

Question 8

Laboratory Assessment for epilepsy

Answer 8

Blood chemistry
* Check for signs of infectious disease
* Monitor Liver and kidney function
* Monitor Glucose level

Question 9

CLINICAL MANAGEMENT for Epilepsy

Answer 9

Brain Surgery ( Resection)
Removal or alteration of the area of the brain that causes seizure activity
Vagus nerve stimulation
Adjunct treatment for refractory partial seizure Invasive procedure
Gives electric stimulation that runs through the neck to prevent seizures