(42A) Epilepsy in Adults Flashcards Preview

Neuro Block 2 > (42A) Epilepsy in Adults > Flashcards

Flashcards in (42A) Epilepsy in Adults Deck (20):
1

partial seizures emanate from ...
generalized seizures emanate from ...

partial: specific cortical region
generalized: brainstem to both hemispheres (@ same time)

2

complex partial seizure vs secondary generalized

generalized = loss of consciousness and BILATERAL cerebral involvement

complex partial = just loss of consciousness and FOCAL cerebral involvement

3

nml or abnml EEG with simple partial seizures

nml

4

Signs and symptoms of _____ SIMPLE partial seizures:
1. motor
2. somatosensory
3. autonomic
4. psychic

1. movement starts in hand to arm to face
2. tingling/numbness in hand to arm then face
3. epigastric sensations, N/V
4. deja vu, fear

5

what type of seizures are assc with automatisms (chewing, lip smacking, hand rubbing, picking)

complex partial

6

if the hand automatisms are happening on the left side, what side of the cerebrum is the complex partial seizure

left
(IPSILATERAL)

7

complex partial seizures emanate from what lobes...

temporal or frontal lobes

8

when a person suffering from a complex partial seizure begins to see contralateral posturing the seizure activity has spread to the ...

ipsilateral basal ganglia

9

generalized 3 Hz spike is characteristic of what type of seizure

absence seizure

10

Describe the classic presentation of an absence seizure

10-20s loss of consciousness
staring spell
subtle myoclonic movements (eye-lid flutter)
NO post ictal confusion

11

What type of seizures are aura's?

simple partial seizures

12

cry, loss of conciousness
muscle rigidity
rhythmic jerking
bladder/bowel incontinence
post-ictal confusion

tonic-clonic seizures

13

conscious
brief, shock-like muscle contractions
precipitated by awakening or falling asleep

myoclonic seizure

14

brief loss of consciousness
head drop
fall

atonic seizure

15

goal of AED therapy

medical remission

16

medical remission vs disease remission

medical = seizure free with only 1 or 2 AEDs (without side effects)

disease = seizure free off of meds

17

surgical therapy with sometime lead to what type of remission

disease

18

criteral for generalized convulsive status epilepticus

generalized seizure
lasts >5 mins or 2+ sequential seizures occurring w/o full recovery of consciousness

19

management of GCSE

ABSs
labs
glc then thiamine
ativan
Dilantin

20

GCSE is considered refractory if it fails to respond to

lorazepam