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31 Cards in this Set
- Front
- Back
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seizure is altered ___ caused by abnormal ___
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sensation or behavior
cortical synchronization |
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asymptomatic abnormal cortical electrical discharge is called ___
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electrographic seizure
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epilepsy is ___ seizures separated by ___
which are ___ |
2 or more
24h not explained by acute insult |
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epilepsy prevalence is between ___ and ___
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0.5%
2% |
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epilepsy incidence is highest at ___ age
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early childhood
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3 causes of childhood epilepsy idoof
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neonatal injury
CNS infection head trauma |
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3 causes of adult onset epilepsy idoof
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vascular injury (infarct/hemorrhage)
tumor infection |
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3 kinds of seizure
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partial
generalized unclassified |
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6 kinds of generalized seizure
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tonic clonic
tonic atonic clonic myoclonic absence |
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3 kinds of partial seizure
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simple
complex secondarily generalized |
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4 kinds of simple partial seizures
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with motor signs
with somatosensory or special sensory sx with autonomic sx with psychic sx |
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T/F: complex partial seizures don't need to cause loss of consciousness
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true (only alter)
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T/F: people can carry on complex behavior during complex partial seizure
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true
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loss of continence in GTC seizure occurs during ___ period
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beginning of post-ictal
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___ and pupillary ___ are autonomic signs which can accompany absence seizure
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mydriasis
tachycardia |
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EEG sign of absence seizure
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3--4 Hz spike and wave
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EEG sign of myoclonic seizure (2)
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generalized spike and wave
polyspike and wave |
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clonic seizures begin at age ___
they are a/symmetric |
< 3
asymmetric |
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EEG sign of tonic seizure
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generalized low voltage fast activity
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atonic seizures are aka
ictal EEG sign is ___ |
drop attacks
sudden suppression |
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most common chronic partial epilepsy
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temporal lobe epilepsy (TLE)
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TLE usually has ___ (2) seizures
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simple partial
complex partial |
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interictal EEG sensitivity for epilepsy
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90-95%
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___% of normals have spikes on EEG
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2
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ictal EEG sensitivity
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25%
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VPA is not indicated for ___
for these use ___ |
partial seizures
carbamazepine |
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ketogenic diet is high in ___ and low in ___ (2)
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fats
carbs protein |
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in status epilepticus, after ABCs, EKG, CBC, chem 7, AED levels, tox screen,
do ___ if seizures persist do ___ |
lorazepam 0.1 mg/kg
fosphenytoin 18 mg/kg 150 mg/min |
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goal fosphenytoin level in status
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25
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if still seizing after 20 mins, intubate, insert foley, start EEG and do ___
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phenobarbital 20 mg/kg 100 mg/min
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if still seizing after 35 mins, do ___
until ___ then do ___ |
pentobarbital 5 mg/kg
EEG shows burst suppression pattern support BP with pressors |
