kefalaio 24 epilipsia Flashcards Preview

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Flashcards in kefalaio 24 epilipsia Deck (23)
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1
Q

logoi epilipsias(ipermetri kai paroksismiki ekfortisi enos plithismou nevrwnwn)

A

idiopathes,aee (endoegkefaliko aimatwma), ogkoi egkefalou,piestika katagmata kak(metatravmatiki epilipsia) ,kataxrisi oinopnevmatos

2
Q

perioxi enarksis tou 80% twn estiakwn epiliptikwn krisewn

A

krotafikos lovos

3
Q

vlaves tou floiou apo anoksia ,flegmones i metavolikes diataraxes ti epilipsia kanoun

A

sinexis estiaki epilipsia

4
Q

poio sindromo apoteleitai apo tin triada: paidikoi spasmoi,diakopi tis psixokinitikis anaptiksis ,eikona ipsarithmias sto ieg

A

sindromo west

5
Q

sindromo Lennox Gastaut

A

anomalies ston metwpiaio lovo,genikevmenes kriseis,stin poreia ekdilwnete noitiki kathisterisi

6
Q

endeikseis epiliptikis krisis

A

osmi periergi,diksi glwssas ,apwleia ourwn ,tholwsi ipnilia ponokefalos

7
Q

eidiki epiliptiki eikona ieg

A

simplegma aixmis kimatos

8
Q

mri se epiliptikous

A

apotelesmatikoteri apeikonistiki methodo , diagnwsi sklirinsis tou esw tmimatos tou krotafikou lovou kai atrofia ippokampou

9
Q

poia farmaka antimetwpizoun tis estiakes kai defterogenws genikevomenes epiliptikes kriseis

A

fainintoini ,karvamazepini,fainovarvitali kai to valproiko oksi

10
Q

prwtopathis genikevmenes kriseis(aftes emfanizontai stin paidiki kai efiviki ilikia)

A

afereseis , mioklonies , tonikoklonikes

11
Q

prwtopathis genikevmenes kriseis therapeia

A

valproiko oksi,lamotrigini,topiramati(anastoleas karvonikis anidrasis)

12
Q

pote mporeis se epiliptiko na kaneis diakopi farmakevtikis agwgis ?

A

meta apo parodo trietias eleftheros krisewn

13
Q

pososto athektikwn morfwn epilipsias se farmaka

A

20-30%

14
Q

xeirourgikes texnikes gia therapeia epilipsias

A

afairesi floiodous estias,imisfairektomi, diatomi mesolobiou , topothetisi siskevis pou erethizei to pnevmonogastriko

15
Q

farmako gia kriseis aferesews

A

ethouksimidi

16
Q

parenergeies valproikou oksews

A

pagkreatitis, katastoli mielou twn ostwn ipatotoksikotita,tromos,avksisi varous,trixoptwsi kai oidima sfirwn

17
Q

aples estiakes xwrizontai se

A

aples estiakes me kinitiki simptwmatologia kai me aisthitiki simptwmatologia(ston krotafiko akoustikes -osfritikes)

18
Q

simplokes estiakes kriseis

A

diataraxi tou epipedou sindeidisis ,oxi tonikoklonikes sispaseis ,diakopi epikoinwnias kai amnisia gegonotos kai aftomatismous pou den thimate

19
Q

ieg se estiakes

A

rithmiki drastiriotita 5-7hzxwris aixmes ,aixmes kai aixmira kimata,entopismeni epivradinsi tou vasikou rithmou

20
Q

tonikoklonikes kriseis (grand mal meros genikevmenes)

A

1,asafis proeidopoiisi gia erxomo,2.(protoniki kloniki fasi)mioklonika tinagmata vraxeies klonikes kiniseis strofi kefalis kai ofthalmwn, 3.toniki fasi ksafniki toniki sispasi tou kormou kai akrwn diastoli koris kianwsi 4. kloniki fasi apwleia ourwn kai kopranwn, 5.metakritiki fasi o asthenis den antida alla anapneei

21
Q

ieg stis grand mal (tonikoklonikes)

A

simplegmata aixmis kimatos

22
Q

kriseis aferesis petit mal kai ieg

A

apotomi apoleia epafis me perivalon,diarkeia 5-10 sec ,sinodevete apo aftomatismous,,,simplegma aixmis kimatos 3hz

23
Q

poioi paragontes kanoun pio pithano na ksanasimvei epiliptiki krisi

A

otan iparxei nevrologiki disleitourgeia,otan itan estiaki ,otan emfanistikan epiliptikes ekfortiseis sto mesokritiko ieg