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Flashcards in Seizures Deck (12)
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1
Q

Types of brain waves

A

Alpha 8-13 Hz…..

2
Q

EEG

A

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
Q

Toxic Metabolic Encephalopathy

A

Tri-phasic waves.

4
Q

Creutzfeldt-Jacob Disease

A

Sharp waves

5
Q

EEG signs of Li Overdose

A

Sharp waves (Triphasic)

6
Q

Partial Epilepsies

A

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
Q

Partial Complex

A

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
Q

Meds that can cause sx

A

Wellbutrin above 400mg. Clomipramine;

9
Q

Tx

A

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

10
Q

Phenytoin, Cabamazepine, and_______

A

Have a well known toxicity syndrome

11
Q

Generalized sz

A

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

12
Q

Psychogenic nonepileptic sz

A

Somatic, factitious, or functional neurologic disorder.