Flashcards in (42A) Epilepsy in Adults Deck (20):
partial seizures emanate from ...
generalized seizures emanate from ...
partial: specific cortical region
generalized: brainstem to both hemispheres (@ same time)
complex partial seizure vs secondary generalized
generalized = loss of consciousness and BILATERAL cerebral involvement
complex partial = just loss of consciousness and FOCAL cerebral involvement
nml or abnml EEG with simple partial seizures
Signs and symptoms of _____ SIMPLE partial seizures:
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
what type of seizures are assc with automatisms (chewing, lip smacking, hand rubbing, picking)
if the hand automatisms are happening on the left side, what side of the cerebrum is the complex partial seizure
complex partial seizures emanate from what lobes...
temporal or frontal lobes
when a person suffering from a complex partial seizure begins to see contralateral posturing the seizure activity has spread to the ...
ipsilateral basal ganglia
generalized 3 Hz spike is characteristic of what type of seizure
Describe the classic presentation of an absence seizure
10-20s loss of consciousness
subtle myoclonic movements (eye-lid flutter)
NO post ictal confusion
What type of seizures are aura's?
simple partial seizures
cry, loss of conciousness
brief, shock-like muscle contractions
precipitated by awakening or falling asleep
brief loss of consciousness
goal of AED therapy
medical remission vs disease remission
medical = seizure free with only 1 or 2 AEDs (without side effects)
disease = seizure free off of meds
surgical therapy with sometime lead to what type of remission
criteral for generalized convulsive status epilepticus
lasts >5 mins or 2+ sequential seizures occurring w/o full recovery of consciousness
management of GCSE
glc then thiamine