Trigger - Seizure Flashcards

1
Q

what are examples of remote symptomatic causes of seizures

A
  • brain tumors
  • head trauma
  • CNS infections
  • strokes
  • probably some others but these are just examples
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2
Q

FADE From My Head is an acronym for what?

A

things that may induce a seizure

Fatigue
Alcohol ingestion
Decreased physical health
Emotional stress

Flashing lights

Menstrual cycle

Hypoglycemia

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3
Q

generalized seizure with retained LOC

A

myoclonic seizure

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4
Q

non motor onset generalized seizure

A

absence seizure

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5
Q

lip smacking and staring spells

A

absence seizures (generalized)

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6
Q

generalized seizure with abrupt onset and offset, MC in children

A

absence seizures

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7
Q

a 12 year old boy presents with what the mother describes as spells of “zoning out” and “staring into space”. These episodes last about 3 minutes and afterward the patient is drowsy and sometimes confused. what type of seizure does this patient likely have?

A

A focal seizure.

When a seizure presents like an absence seizure but lasts longer than 45 seconds and has a post ictal phase, consider that it is a focal seizure instead.

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8
Q

sudden brief jerks or twitches of arms, legs or jaw

A

myclonic seizures

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9
Q

lasts >30 minutes and partial awareness is retained

A

myoclonic seizures

sudden jerks of movement that occurs upon waking or falling asleep

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10
Q

occurs upon waking or falling asleep

A

myoclonic seizures

sudden jerks
>30 min
partial retained awareness

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11
Q
  • Normal EEG
  • No delay of neurologic development
  • Often occurs prior to age 1 and is self-limiting
A

myoclonus of infancy

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12
Q

sudden loss of muscle control lasting <2 s

A

atonic seizures/drop attacks

assocaited with intellectual impair

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13
Q

often associated with intellectual impairment

A
  • atonic seizures/drop attacks
  • tonic seizures
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14
Q

bilateral Tightening and stiffening of muscles

A

tonic seizures

people often fall d/t rigidity
asssociated w intellectual impairement

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15
Q

Bilateral, jerking movements (rhythmic jerking) with ALOC

A

clonic seizures

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16
Q

LOC, violent shaking, and body stiffening

A

tonic-clonic seizures

  • also presents with foaming of the mouth, incontinence, tongue biting
  • bilateral symmetrical generalized motor involvement
  • lasts up to 20 min and has a post ictal phase of 10-30 minutes
17
Q

presents with foaming at the mouth and incontinence

A

tonic-clonic seizures

  • LOC, violent shaking, and body stiffening
  • bilateral symmetrical generalized motor involvement
18
Q

usually observed from 4-7month of age and resolves by age 4

A

infantile spasms/west syndrome

presents with:
Hypsaarhythmia on EEG
Symmetric, synchronous
Brief contractions of muscle groups
Clusters
4-6s

19
Q

brief symmetric synchronous contractions involving more than 1 muscle group only lasting 4-6s.

A

infantile spasms/west syndrome

presents with:
Hypsaarhythmia on EEG
MC in kids 4-7mo and fades by age 4

20
Q

Hypsaarhythmia on EEG in children

A

infantile spasms/west syndrome

21
Q

will protect their hands from hitting their face but tongue biting still occurs

A

pseudo seizure

Resembles an actual seizure but nothing physically wrong
Treat with psychotherapy

22
Q

this type of seizure often causes people to fall over

A

tonic seizures.

usually fall d/t rigidity

23
Q

Big Curve Very Potent

this is my drug acronym iykyk

A

AEDs that need drug monitoring

Barbs
Carbamazepine
valproic acid
phenytoin

24
Q

Diplopia dizziness and imbalance

A

SE of AEDs

also:
NV
drowsiness

25
Q

gingival hyperplasia as SE

A

phenytoin

26
Q

Pregnant people can get very lame treatment

another acronym iykyk

A

drugs to avoid in tx for preggo people

Phenobarb
phenytoin
Carbamazepine
gabapentin
Valproic acid
Lamotrigine
Topiramate

27
Q

lamotrigine is 1st line for what

A

focal seizures

28
Q

valproate (depakote) 1st line for who

A

generalized seizure pts

29
Q

levetiracetam 1st line for who

A

pregnant people w generlized seizures

30
Q

what do barbs and benzos have in common

A

must be tapered very slowly