Flashcards in pediatric neurology Deck (58)
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1
definition of epilepsy
occurrence of >2 unprovoked seizures
2
abnormal hyper synchroncous discharge of cortical neurons
epilepsy
3
name that seizure: staring episodes with cessation of activity
absence
4
name that seizure: : brief jerking muscle movements
myoclonic
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name that seizure: loss of tone
atonic
6
name that seizure: regularly repeated msucles jerking
clonic
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simple partial is _____alteration in consciousness vs complex partial is ____alteration in consciousness
NO alteration; any alteration
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staring off for less than 20 seconds withOUT loss of tone, or confusion post starting episode
childhood absence epilepsy
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what can absence epilepsy be provoked by?
hyperventilation
10
EEG with generalized 3 Hz spike and slow wave discharge
absence seizure
11
tx of choice for absence seizure
ethusoximide
12
peak onset seizures 5-10 yrs, infrequent partial seizures, tingling in mouth, on face, drooling, dysphasia, speech arrest, unilateral UE movement
benign childhood epilepsy with centrotemporal spikes
13
EEG: centrotemporal spikes
rolandic epilepsy
14
usually have seizures that occur during sleep
rolandic epilepsy
15
drug of choice for rolandic epilepsy
carbamazepine or oxcarbazapine
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EEG: 3-6 Hz polyspikes and wave
juvenile myoclonic epilepsy
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myoclonic jerks, age of onset 12-18, provoked by photic stimulation, AM wakening, lack of sleep
juvenile myoclonic epilepsy
18
does juvenile myoclonic epilepsy resolve by end of adolescence years or persist?
persists, requires life long tx
19
tx of juvenile myoclonic epilepsy
men: valproic acid
women: levetiracetam, lamotrigine
20
fever + seizure w/o CNS infxn
febrile seizure
21
febrile seizures occur in what ages
3 months-->6 yrs
22
what is the most common seizure in children
febrile seizure
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simple febrile seizure is defined as generalized, less than ____min long, occurs___in a 24 hr period
15 min long; occurs 1x in 24 hrs
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tx to stop febrile seizure
benzo
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Small brief spasm, but one of the most severe epilepsy patterns
infantile spasm
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EEG: hypsarrhythmia
infantile spasm
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drug of choice for infantile spasm
ACTH
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drug of choice for infantile spasm secondary to tuberous sclerosis
vigabatrin
29
cahracterized by different types of seizures, mental retardation
lennox gastaut syndrome
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