Seizure mimickers

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34.3
Averil Tam
Flashcards by Averil Tam, updated more than 1 year ago
Averil Tam
Created by Averil Tam over 6 years ago
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Question Answer
TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: A. Commonly persists over the age of 12 months. FALSE. In 95% if infants it resolves by 6 months.
TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: B. Can be diagnosed on history and examination in most instances. TRUE. The key is that the jerks abolish completely on waking the baby in an otherwise normal healthy infant.
TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: C. Is associated with developmental delay and severe infant onset epilepsy. FALSE. There is no association with long term neurological disease.
TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: D. The myoclonic jerks can be provoked by noise or tactile stimulus. TRUE. Rocking the baby, patting the baby and external sudden sounds may provoke the jerks in sleep.
TRUE/FALSE? 2. Syncope and related disorders: A. The majority of faints or syncopal episodes in teenagers can be classified as neurally mediated (vasovagal). TRUE.
TRUE/FALSE? 2. Syncope and related disorders: B. The stiffening of the limbs after breath holding spells in some infants is an epileptic phenomenon. FALSE. Stiffening of limbs in blue breath holding spells is related to brief cerebral hypoxia and is not epileptic.
TRUE/FALSE? 2. Syncope and related disorders: C. If syncope occurs in the context of a family history of cardiac disease a cardiac cause should be excluded. TRUE. These are warning signs that there may be a cardiogenic cause for the syncope. A clinical cardiac examination is important as part of an evaluation of any teenager with syncope.
TRUE/FALSE? 2. Syncope and related disorders: D. Urinary incontinence after an episode of collapse is indicative of this episode being epileptic. FALSE. Urinary incontinence, jerking of the limbs and tongue-biting can all be seen in syncope.
TRUE/FALSE? 3. Nonepileptic Events: A. Absence seizures are often >30 seconds duration. FALSE. Typically 5-10 seconds.
TRUE/FALSE? 3. Nonepileptic Events: B. Stereotypies are diagnostic of autism. FALSE. Parents are often fearful that their child has autism, but these are seen in normal kids.
TRUE/FALSE? 3. Nonepileptic Events: C. Tics often occur during sleep. FALSE. Movement disorders or jerks persisting in sleep suggest an epileptic disorder, or sleep related hypnic jerks.
TRUE/FALSE? 3. Nonepileptic Events: D. An 8 month old infant with normal development and examination with recurrent ‘spasms’ of the trunk and head, only seen in drowsiness or when feeding, and a normal EEG can be reassured. TRUE. This is the history of ‘shuddering attacks’ or 'benign myoclonus of infancy’.
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