(42B) Epilepsy in Kids Flashcards Preview

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Flashcards in (42B) Epilepsy in Kids Deck (26):
1

type of seizures that may be induced with hyperventilation

absence (generalized)

2

how are absence seizures different from complex partial?

Absence: usually starts in childhood, rare auras, no post-ictal phase, generalized EEG

Complex partial: any age onset, usually has aura

3

most common type of childhood seizure

febrile
**must rule out meningitis

4

simple vs complex febrile seizures

simple: isolated generalized, brief
complex: multiple, focal, prolonged

5

when is neuroimaging not recommended for what type of seizure in kids

FIRST simple febrile seizure

6

at risk for hippocampal injury and abnormalities in hippocampas development

febrile status epilepticus

7

febrile status epilepticus is assc with infection with what ?

HHV 6 and 7

8

what is the defn of epilepsy

multiple UNPROVOKED seizures separated by MORE than 24 hrs

9

infantile spasms are usually flexor or extensor contractions

flexor

10

infantile spam characteristic EEG pattern

hypsarrythmia (high voltage, chaotic activity, looks the same if you hold it upside down)
--high amplitude delta waves

11

What is west syndrome?

triad of
1. iinfantile spasms
2. hypsarrhthmia
3. developmental arrest/regression

12

Treatment for infantile spasms that is bolded

ACTH

13

triad characteristic of lennox-gastaut

1. tonic, atypical absence, and atonic seizures
2. slowing of mental development
3. slow spike wave on EEG (1.5-2.5 Hz)

*LIFE LONG CONDITION

14

how is atypical absence seizure different than absence seizure

atypical last longer, generalized 1.5-2.5 Hz spike, decreased intelligence

15

life long seizure syndrome that is usually difficult to control

lennox-gastaut

16

5 yo with absence seizures multiple times a day (3 hz discharges)

childhood absence seizure epilepsy (CAE)

17

prognosis of CAE

it is benign condition that only needs Tx for 2-3 years

18

type of seizures typically seen in juvenile myoclonic epilepsy

tonic-clonic, myoclonic, absence

19

what is the onset of juvenile myoclonic epilepsy

adolecence

20

describe the myoclonic jerks seen in JME

highest frequency in the morning and the pt is conscious the entire time so they are aware of then

21

Is neuroimaging used to Dx JME

no, it is nml

22

etiology of JME

hereditary--on chomosome 6

23

what is the prognosis of JME

life long treatment

24

partial epilepsy in which epileptiform discharges arise form the lower Rolandic area of the brain

benign rolandic epilepsy

25

what is the most specific type of seizure seen eith benign rolandinc epilepsy? what is the most common?

specific = facial motor seizures
common = noctournal generalized tonic-clonic seizures

26

what is the characteristic EEG finding for BRE

central-temporal spikes