Focal(partial strokes) Flashcards

1
Q

What are the Focal(partial) strokes?

A

Simple
Complex
Secondary generalized tonic-clonic
Focal status epilepticus

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2
Q

What is AURA?

A
Focal seizure
Isolated or precede generalized seizure
Déjà vu
Fear
Smell
Smoke
Wet dog
An aura is a seizure and should be treated as a breakthrough seizure.
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3
Q

How long does an aura last?

A

15-45 seconds not minutes

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4
Q

What is odds paralysis?

A
Post ictal weakness following focal seizure that last minutes or hours 
Weakness
Numbness
Visual field defect
Aphasia
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5
Q

What is jacksonian march?

A

Focal seizure affecting motor strip
Starts in hand, progresses upward into arm
moves up the motor homunculus

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6
Q

What is Psychogenic nonepileptic seizure (PNES?

A
Features
Writhing, thrashing, pelvic thrusts, arched back, or rolling from side to side
Forced eye closure
>1 min
No post ictal confusion/fatigue/headache
History of abuse
Psychiatric history
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