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23 Cards in this Set
- Front
- Back
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what is seizure?
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excessive or synchronous abnomral brain electrical activeity
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what is epilepsy
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recurrent seizures
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how do you distingguis between fainting and seizure?
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you dont just drop to the floor and go limp in siezure usually tonic or clonic
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who gets epilepsy?
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young children(genetics/tumor)
older people(tumor/stroke) |
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clinical features of seizure?
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abnormal mental state-unresponsive, confusion, inappropirate vocal
abnormal movement-tonic, clonic, dystonic, myclonic, automastisms abnormal sensation -tingle, pain,taste, hear, deju vu |
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simple partial mean?
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no altered consioulsness
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complex partial?
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impaired or loss of consiousness
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generalized
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whole brain, often tonic clonic or absence
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what is the most common type of seizure?
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complex partial
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temporal onset right?
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left arm
no aphasia wipes mouth with right hand lips smacking |
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left temporal onset
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aphasia
right arm |
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signs of absence seizure?
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brief pause in conversation
hand automatism no postictal phase(no diorentation/ memory of it) |
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non epileptic siezures in a patient usualy have history of what?(psychogenic ,)
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rape/molestation
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what are some indicators of non epileptic seizures(psychogenic)
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eyes closed
no tonic phase head arching back grunting side to side head shaking asynchronous movement unresponsive but EEG shows wide awake can be induced and fixed by suggestion |
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what are a good signs of epileptic siezures
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eyes open
presence of a tonic phase |
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tegratos can do what bad thing?
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status epilepticus
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epelepsy diagnosis?
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EEG
PET ictal SPECT fMRI |
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3 hz spike wave indicates what
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absence siezure
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polyspike wave associated with
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body jerk
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rhythmic discharge
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ictal EEG
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what is MRI for in seizures
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abnormal brain anatomsy such as scar or tumor
if removed could end seizures |
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what is prognosis for seizures with drugs?
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50% work with one drugs
another 15 % will work with a second, if not work with 2 then very unlikely to benifit from more |
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what is a type of seizure that would seem like a pseudoseizure bc presents weird?
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deep frontal lobe seizure
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