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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

5

name that seizure: loss of tone

atonic

6

name that seizure: regularly repeated msucles jerking

clonic

7

simple partial is _____alteration in consciousness vs complex partial is ____alteration in consciousness

NO alteration; any alteration

8

staring off for less than 20 seconds withOUT loss of tone, or confusion post starting episode

childhood absence epilepsy

9

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

16

EEG: 3-6 Hz polyspikes and wave

juvenile myoclonic epilepsy

17

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

23

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

24

tx to stop febrile seizure

benzo

25

Small brief spasm, but one of the most severe epilepsy patterns

infantile spasm

26

EEG: hypsarrhythmia

infantile spasm

27

drug of choice for infantile spasm

ACTH

28

drug of choice for infantile spasm secondary to tuberous sclerosis

vigabatrin

29

cahracterized by different types of seizures, mental retardation

lennox gastaut syndrome

30

EEG: less than 2.5 spike and slow wave discharges

lennox gastaut syndrome