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31 Cards in this Set

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