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MS2 - Nervous System > Epilepsy II > Flashcards

Flashcards in Epilepsy II Deck (24):
1

What percent of children will have a seizure before age 20?

5%

2

______ percent of people will be seizure-free after their first drug.

Seventy

3

True or false: partial seizures will typically present with abnormalities in one or a couple EEG leads.

True

4

Hand automatisms (seemingly purposeful movements that appear periodically) are characteristic of ____________.

partial seizures

5

Describe the difference between idiopathic and cryptogenic as used by pediatric neurologists.

Idiopathic: genetic predisposition
Cryptogenic: thought to have an etiology not yet proven

6

Neurologists call medication-responsive epilepsy "____________" and medication-refractory epilepsy "_______________."

benign; catastrophic

7

Almost all febrile seizures occur by age _______.

3 years

8

The incidence of febrile seizures is _________.

2% - 4% in the U.S.

9

Simple seizures are ______________. Complex are ________________.

generalized; focal

10

True or false: rapid rise of temperature is correlated with febrile seizure.

False. This is an old wives' tale that has been disproven

11

Febrile seizures ___________ often.

recur (especially if the first occurred before age 1 or there is a positive family history of epilepsy)

12

True or false: there are typically cognitive sequelae with febrile seizures.

False. Neurocognitive studies have demonstrated that those who've had febrile seizures do not have higher rates of cognitive sequelae.

13

Pre-emptive treatment of febrile seizures does not prevent ____________.

future epilepsy

14

Lennox-Gastaut syndrome presents with what EEG sign?

The slow spike and wave (slow because it's slower than 3 Hz)

15

In general, you should not treat people until they've had ______________.

two prior seizures

16

Start anticonvulsant therapy with ______________.

one drug; then move to different single drugs if that fails – only consider polytherapy when many single drugs have failed

17

Lamotrigine can sometimes make __________ worse.

myoclonic (even though lamotrigine is a broad-spectrum antiepileptic)

18

Why is valproic acid not given to teenage girls?

Because it can cause polycystic ovary disease

19

To qualify as epilepsy, the seizures need to be ________________.

unprovoked

20

Seizures most often occur in what age groups?

The very young and the very old

21

True or false: more than 1/3 of epileptics are resistant to pharmacotherapy.

True! About 36%

22

The most common childhood seizures are ____________.

febrile seizures (usually occurring in the 18 - 22 month age)

23

Of simple and complex seizures, which kind is more likely to recur?

Complex

24

What is the efficacy of ketogenic diets?

At least 50% of patients show some response, with 7% being seizure-free

Decks in MS2 - Nervous System Class (111):