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Neuro > Epilepsy > Flashcards

Epilepsy Flashcards

1
Q

What is epilepsy

A

Recurrent tendency of Convulsions that can cause seizures

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2
Q

What are convulsions

A

Disrupted brain nerve cell activity causing involuntary movements and spasm

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3
Q

What are the causes of epilepsy

A

Idiopathic
Cortical scar
Tumour and stroke
Alcohol withdrawal

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4
Q

What are the risk factors for Epilepsy

A

Family history
Premature baby
Cocaine

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5
Q

What are the three events linked to epilepsy

A 
Prodrome (long before)
-mood change
Aura (Just before)
-Deja vu, weird smells and flashing lights
Post Ical (Post seizure)
-Headache, confusion and bitten tongue
-Todd's palsy? Focal seizure
-Dysphagia? Temporal seizure
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6
Q

What are the differences between epileptic and non epileptic seizures

A 
Epileptic
-Short
-Bitten tongue
-Anytime
-Can't remember 
Non Epileptic
-Long
-Closed mouth and eyes
-When awake
-Remember
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7
Q

What is the management for Epilepsy in male

A

Sodium Valporate/ Carbemazepine

Except for Focal = Iamotrigine

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8
Q

Why can women not take Sodium Valporate like men

A

It is tetragenic

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9
Q

What do women take for epilepsy

A 
Tonic-Clonic and Atonic
=Lamotrogine
Myoclonic
=Topiromate
Absence
=Ethosuximide
Focal
=Iamotrigine
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10
Q

What is a tonic seizure

A

Stiff body muscles

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11
Q

What is a clonic seizure

A

Periods of shaking and jerking

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12
Q

What is an Atonic seizure

A

Relaxed muscles

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13
Q

What is a myoclonic seizure

A

Short jerks

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14
Q

If a patient has an aura before epilepsy, What site is most likely affected

A

Temporal lobe presents with Aura 80%

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15
Q

If a patient presents with Jacksonian march and post ical Todd’s Palsy, what site is most likely affected

A

Frontal lobe

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16
Q

How would you investigate Epilepsy

A

ECG - Determine type
MRI/CT - Rule out other cause
Bloods - Rule out imbalance
Genetic tests

17
Q

What is a focal seizure

A

A certain part of the brain is affected

18
Q

What are the three types of focal seizures

A

Simple (no impaired consciousness)
Complex (Impaired consciousness with post ical symptoms @ temporal)
Secondary (Bilateral tonic-clonic)

19
Q

What are the features of focal seizures @ temporal lobe

A

Lip smacking
deja vu
Anxiety

20
Q

What are the features of focal seizures @ Frontal lobe

A

Jacksonians march
Todds Palsy
Dysphagia

21
Q

What are the features of focal seizures @ Parietal lobe

A

Paraesthesia and numb

22
Q

What are the features of focal seizures @ Occipital lobe

A

visual spots and rods

Neuro (27 decks)

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