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Flashcards in Seizures Deck (13):
1

Complex =
Simple =

LOC is complex, No LOC is simple

2

Generalized =
Partial =

Total body in generalized seizure, specific symptoms in partial seizures

3

When to benzo?

If seizure lasts longer than 5 minutes

4

NEVER give ___ in febrile child?

Aspirin, due to risk of Reye syndrome.

5

When to investigate for complex febrile seizure?

If the seizure is focal, lasts longer than 15 min, or is recurrent within the day

6

Symmetric jerking of the head, trunk, or extremities without fever in a <1yo =

infantile spasm. Confirm with interictal EEG which will show Hypsarrhythmia

7

Treatment for infantile spasms

ACTH

8

Simple febrile seizure has what four components?

Generalized
<15 min
Only one in the day
No underlying neurological problems

9

What are features of tuberous sclerosis you'd see on Wood's lamp exam?

Ash leaf spots

10

Other features of tuberous sclerosis?

Angiofibromas on face
Cortical tubers on MRI or CT
Ash leaf spots
Seizures
Intellectual disability

11

What's unique about absence seizures?

No post-ictal period
Treat with ethosuximide
Skip-phase conversations

12

What is the characteristic finding on EEG in juvenile myoclonic epilepsy?

4-6Hz spike wave discharges

13

First line anticonvulsant for juvenile myoclonic epilepsy is

Valproate; Pheny, oxcarbazepine, and carbamazepine can exacerbate seizures in JME!