Epilepsy Flashcards

1
Q

What is the definition of epilepsy?

A

Chronic disorder characterized by two or more unprovoked seizures separated by 24 hours

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2
Q

What age groups get epilepsy?

A

Newborns and young children

Second peak > 65 years

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3
Q

What are epileptic syndromes?

A

Juvenile Myoclonic epilepsy
Lennox-Gestaut Syndrome
Mesial Temporal Lobe Epilepsy snydrome

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4
Q

What are the 3 types of factors in seizures?

A

Endogenous factors
Epileptogenic factors
Precipitating factors

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5
Q

What type of seizures occur in late/infancy/early childhood?

A

Febrile seizures

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6
Q

What type of seizures occur in childhood?

A

Well-defined epilepsy syndrome

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7
Q

What types of seizures occur in adolescence/early adulthood?

A

Epilepsies secondary to acquired CNS lesions begin to predoinate

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8
Q

What type of seizures occur in older adults?

A

Cerebrovascular disease

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9
Q

What are causes of seizures regardless of age?

A

Metabolic disturbances
Hypo/hyperglycemia
Renal failure
Hepatic failure

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10
Q

What drugs cause seizures?

A
Beta-lactam
Quinolones
Alkylating agents
Antimalarials
Meperidine
Tramadol
Psychotropics
Theophylline
Drugs of abuse
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11
Q

What are the focal seizures?

A

Focal aware seizures

Focal impaired awareness seizures

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12
Q

What are the types of focal aware seizures?

A

Focal aware with motor onset

Focal aware with non-motor onset

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13
Q

What is the jacksonian march?

A

Tingling of fingertips, to hands, to arm to entire arm

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14
Q

What is todd’s paralysis?

A

Affects one side of the body - numb/tingle for the rest of the day

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15
Q

What do focally impaired awareness seizures frequently begin with?

A

Aura

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16
Q

What are the types of Generalized seizures?

A
Typical/atypical absence
Tonic-clonic
Pure clonic
Pure tonic
Atonic
Myoclonic
17
Q

What lab may be elevated in tonic-clonic seizures?

A

Serum prolactin

18
Q

What are EEGs used for in seizure disorders?

A

Useful for the diagnosis of various seizure disorders

19
Q

What is the goal of epilepsy?

A

No seizures, no SE, and an optimal QOL