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Neurology for Psychiatrists > Seizures > Flashcards

Flashcards in Seizures Deck (12):
1

Types of brain waves

Alpha 8-13 Hz.....

2

EEG

Alpha is dominant. Beta when we are concentrate, take hypnotics or sedatives. Theta is normally in children and in deep sleep. usually absent in adults. Delta ___

3

Toxic Metabolic Encephalopathy

Tri-phasic waves.

4

Creutzfeldt-Jacob Disease

Sharp waves

5

EEG signs of Li Overdose

Sharp waves (Triphasic)

6

Partial Epilepsies

With or without impairment of consciousness. Focal-motor seizures. After seizure, the affected limb will be weak. Can be sensory sx, Tingling, burning. Hallucinations. Smell burning rubber.

7

Partial Complex

Most common. Late childhood or early adulthood. Mesial temporal sclerosis (most common). Can get aura with these sz. Consciousness is impaired; Memory loss and amnesia common; Sterotypical, repetitive movements of face or hands; Couple minutes. Post-ictal period. Can have aphasia or Todd's Paralysis after sz. Need to use MRIs because they have higher resolution so you can look for things like Mesial Temporal Sclerosis and mini-strokes

8

Meds that can cause sx

Wellbutrin above 400mg. Clomipramine;

9

Tx

There is a list of meds. Keppra and Depakote are 2 good broad spectrum ones that can be used in most types.

10

Phenytoin, Cabamazepine, and_______

Have a well known toxicity syndrome

11

Generalized sz

Absence (3 Hz spike rhythm on the EEG) or Tonic-Clonic.

12

Psychogenic nonepileptic sz

Somatic, factitious, or functional neurologic disorder.