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22 Cards in this Set

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VNS Therapy

Adjunctive therapy to reduce frequency of seizures in patients 4+ years with partial onset seizures refractory to antiepileptic medications

VNS Therapy (depression)

long term treatment of chronic/recurrent depression for pations 18+ years who have no adequate response to antidepressants

Seizure

Brief, temporary disturbance in electrical activity in the brain

Seizure causes

Sleep deprivation


Medications/drugs


Duet


Infection


Flashing lights


Hyperventilation


Dehydration


Stress

Events that disrupt homeostasis

Glutamate

The brain’s major excitatory neurotransmitter

GABA

brain: major inhibitory neurotransmitter

Normal CNS function

Excitation and inhibition balance

PNES

Psychogenic non-epileptic seizures; symptoms of seizures without unusual brain activity

How many people have epilepsy?

65 Million around the world


3.4 Million in the United States

EEG

Measures and records activity in the brain. Distinguishes between focal and generalized seizures.

MRI

uses powerful magnetic fields to detect structural abnormalities

fMRI

Non-invasive motor, sensory, language and memory mapping.

PET scan

Uses a tracer to locate disease or injury in the brain

Types of Focal Onset Seizures

Temporal


Frontal


Parietal


Occipital Lobe

ILAE Classification of Seizure Types

Focal Onset


Generalized Onset


Unknown Onset

Simple Partial Seizure

Focal Aware Seizure

Complex Partial Seizure

Focal Impaired Awareness Seizure

Focal Motor Onset behaviors

Atonic


Tonic


Clinic


Nyoclonic


Epileptic Spasms


Hyperkinetic


Automatisms

Non-motor onset behaviors

Behavior arrest


Autonomic


Cognitive


Emotional


Sebsory

Grand mal

generalized tonic-clonic

Petit mal

Absence

Psychomotor

Focal impaired awareness