Neurology Flashcards Preview

Pediatrics > Neurology > Flashcards

Flashcards in Neurology Deck (13)
Loading flashcards...
1
Q

West Syndrome

A

Age: 3-9 months
Sx: infantile spasms with developmental regression
EEG: Hypsarrythmia
Tx: steroids, viagabatrin, ACTH
Complications: developmental delay, future seizures

2
Q

Lennox Gastaut

A

Age: 2-5 years, males more common
Sx: Multiple seizure types, intellectual disability
EEG: slow generalized spike and wave
Tx: valproic avid, benzodiazepines, ketogenic diet

3
Q

Juvenile myoclonic epilepsy

A

Sx: myoclonus upon awakening, GTCs
EEG: 4-6Hz spike and wave, increased with photic stimulation
Tx: valproic acid

4
Q

Juvenile absence

A

Age: 3-10 years
Sx: multiple daily staring spells, no post ictal
EEG: 3 Hz spike and wave
Ix: brought out with photic and hyperventilation
Tx: valproic acid, ethosuximide

5
Q

Benign Rolandic

A

Age: 3-12 years
Sx: normal neurological exam, clusters of focal motor seizures around sleep/wake times, can secondarily generalize
EEG: centrotemporal spikes
Tx: carbamezepine, often will outgrow

6
Q

Benign focal seizures in infancy

A

Age: 3-20 months
Hx: normal development
Sx: focal/dyscognitive
Tx: carbamazepine, levitiracetam

7
Q

Seizure mimics

A
Syncope
Psychogenic
Breath holding spell
Benign sleep myoclonus
Self stimulating
benign paroxysmal vertigo
8
Q

Criteria for febrile seizure

A
  1. Fever >38
  2. Age 6 months to 6 years
  3. Normal neurological exam before and after event
9
Q

Simple febrile seizures

A
  1. Generalized
  2. Less than 15 min
  3. Only one seizure in 24 h

No treatment

10
Q

Complex febrile seizures

A
  1. Focal neurological signs
  2. Greater than 15 minutes
  3. More than one in 24 h

Ix: LP, EEG, maybe head CT

11
Q

Breath holding spells

A

Involuntary breath holding after noxious stimuli, can be cyanotic or pallid

12
Q

Headache red flags

A
Systemic symptoms
Neurological findgins
Progressive tempo
Onset sudden
Pressure sx
Positional
13
Q

Cerebral Palsy

A

Def: non-progressive disorder of movement and posture, due to damage or disordered development before during and after birth
Sx: abnormal tone, developmental delay, feeding difficulties, asymmetry of movement, retained reflexes
Types: spastic*, ataxic hypotonic, dyskinetic
Management: address function