34.3 Seizure Mimickers

Question 1

benign neonatal sleep myoclonus mx?

Answer 1

wake them up
abolishes by 6 months
can be brought on by rocking/tactile stimuli

Question 2

risk factors for cardiac syncope?

Answer 2

exercise
severe emotional stress
supine posture
diving
fix
sudden death, arrythmia

Question 3

manoeuvres associated with syncope?

Answer 3

-adolescent, morning stretch
-weight lifting
cough,
-valsalva
-hair grooming
swallowing
trumpet playing

Question 4

eyes during a tonic clonic seizure?

Answer 4

always open

Question 5

need cardiac investigations for reflex anoxic syncope?

Answer 5

yes

Question 6

treatment of infant syncope?

Answer 6

reassure

iron supplementation

Question 7

what is a rhythmic movement disorder of sleep?

Answer 7

head banging (jactatio captious nocturna)

Question 8

jactatio captious nocturna onset?

Answer 8

usually before 18 months

Question 9

what is absence seizure?

Answer 9

tried, frequent, interrupt play, speaking, eating

Question 10

what is daydreaming/inattention

Answer 10

immobility, decreased responsiveness in low stimulation enviro

Question 11

how long does focal seizure last?

Answer 11

usually 1-2 minutes

Question 12

how can you tell if psychogenic seizure?

Answer 12

variable, gradual onset, prolonged duration

• antiepileptics fail
• temporal relationship to emotional stress