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
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name that seizure: staring episodes with cessation of activity
absence
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name that seizure: : brief jerking muscle movements
myoclonic
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name that seizure: loss of tone
atonic
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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
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EEG with generalized 3 Hz spike and slow wave discharge
absence seizure
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tx of choice for absence seizure
ethusoximide
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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
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EEG: centrotemporal spikes
rolandic epilepsy
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usually have seizures that occur during sleep
rolandic epilepsy
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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
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does juvenile myoclonic epilepsy resolve by end of adolescence years or persist?
persists, requires life long tx
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tx of juvenile myoclonic epilepsy
men: valproic acid
women: levetiracetam, lamotrigine
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fever + seizure w/o CNS infxn
febrile seizure
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febrile seizures occur in what ages
3 months-->6 yrs
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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
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cahracterized by different types of seizures, mental retardation
lennox gastaut syndrome
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