Generalized seizures

Question 1

What are the generalized seizures?

Answer 1

Febrile seizure
Childhood absence epilepsy
Juvenile Myoclonic epilepsy

Question 2

What is a febrile seizure?

Answer 2

Generalized seizures in 6months -6 years y/o with a temp > 38 C

Question 3

which criteria is not found in febrile seizures?

Answer 3

None of the following
CNS infection or inflammation
Metabolic abnormalities
Prior febrile seizure

Question 4

What is the time frame on febrile seizures?

Answer 4

Simple and Complex
Complex-more likely to recur or go on to develop epilepsy
>15 minutes
Focal seizure or post ictal focal weakness
Recurrence in less than 24 hours

Question 5

What is a childhood absence epilepsy?

Answer 5

Mean onset 6 years old
Impaired consciousness without loss of muscle tone
Lasts seconds
Pause in activity, then resumes activity
Seizures often resolve as a teenager
Happens a lot in sleep

Question 6

What is the Hz spike wave in a childhood absence epilepsy?

Answer 6

3Hz

Question 7

What is juvenile myoclonic epilepsy?

Answer 7

Seizure types
Myoclonic jerks 
~100%-usually in AM
GTCS ~90%
Absence 20-40%

Question 8

What is the age of onset of juvenile myoclonic epilepsy?

Answer 8

Mean onset 15 years
Often don’t outgrow epilepsy
Polygenomic inheritance

Question 9

What is the EEG reading of Juvenile myoclonic epilepsy?

Answer 9

4-6 Hz polyspike wave

Question 10

What is generalized tonic-clonic seizures?

Answer 10

AKA: Grand mal
Can follow focal seizure or begin as a generalized seizure.
TONIC
CLONIC