Seizures Flashcards
1
Q
A 7 year-old boy developed medically refractory seizures.
A
Rasmussen’s encephalitis
Background
- Inflammation to one cerebral hemisphere
- Due to chronic viral infection or autoimmune gainst glutamate receptors
- Children
Clinical features
- Simple or complex partial seizures
Imaging
- Hyperintensity to one cerebral hemisphere
Treatment
- Glucocorticoids
- IVIG
- Plasmapheresis
- Hemispherectomy for seizures
2
Q
A 20 year- old woman presented with the abrupt onset of psychosis and has several seizures.
A
Limbic encephalitis
Background
- Inflammatory disorder of limbic system
- Viral infection (herpes) or autoimmune (paraneoplsatic vs. non-paraneoplastic)
Clinical features
- Memory loss, personality changes, psychiatric symptoms, involuntary movements, seizures
Imaging
- Hyperintense hippocampi
Treatment
- Steroids
- Plasmapheresis
- Removal of tumor
3
Q
A 34 year-old patient had a procedure to treat medically refractory seizures.
A
Vagus nerve stimulator
- Treats epilepsy
- Implantation of electrode in midcervical portion of vagus nerve
