OME - Seizure Flashcards
(32 cards)
Definition seizure?
Synchronous firing in awake brain
General vs. Partial seizure?
- General: involves entire body
2. Partial: only part of body
Complex vs. Simple Seizure?
- Complex: LOC
2. Simple: No LOC
DDx first time seizures?
"VITAMINS" Vascular Infection Trauma Autoimmune Metabolic Ingestion / Withdrawal Neoplasm S - PSEN
2 types of withdrawal causing seizure?
- Benzos
2. Alcohol
DDx LOC?
- Syncope
2. Seizure
Only real way to differentiate syncope vs. Seizure?
*Post ictal state Other clues: 1. Jerking 2. Tongue biting 3. Incontinent 4. Not remembering
Reasons for breakthrough seizures?
- Non compliance
2. “Vitamins”
How to medicate after first time seizure?
None needed if normal MRI and Normal EEG
Definition Status?
- Seizing more than five minutes
2. Multiple seizures over 20 minutes w/o return to baseline
Rx status?
1 - 5) Moralizer
- Fosphenytoin (IV)
- Midazolam + Propofol
- Phenobarbital
Work up first time seizure?
- EEG
- MRI
- “VITAMINS” W/o
Trade Name Keppra?
Levetiracetam
VPA or Keppra cheaper?
VPA
VPA or Keppra better side effect profile?
Keppra
3 general drugs seizure disorder maintenance?
- Keppra - Best profile
- VPA - Cheapest
- :Lamotrigine
Rx Atonic Seizure?
VPA
Rx Trigeminal Neuralgia?
Carbamazepine
Rx Myoclonic Seizure?
VPA
What is absence seizure?
- Seen in kids
- Positive LOC
- No loss of tone
- Usually outgrown
What is myoclonic seizure?
- No LOC
2. Positive unnecessary useless tone
What is an atonic seizure?
- No change in tone
2. LOC
What is nonconvulsive status?
- LOC
- AMS
- Not shaking
- Put EEG on and are in status
What to do if suspect seizure, but cannot capture eeg?
- Place on EEG
- Video tape
- Try to induce by keeping awake / strobe lights, etc.
