23580223
Description
Flashcards by Amber Castle, updated more than 1 year ago
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Created by Amber Castle
over 4 years ago
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| Question | Answer |
| What are the three types of seizure onset? | Focal, Generalized, unknown onset |
| Benign Epilepsy of Childhood with Central Midtemporal Spikes- BECTS | unilateral parethesis of tongue, lips, cheek; possible tonic-clonic activity of tongue/lips/cheek; unilateral central or midtemporal sharp waves; rhythmic spike bursts and spike wave discharges during seizure. |
| Panaylotopoulos syndrome | Onset 15 mo-17 years blindness, scintillating scotomta, visual hallucinations or illusions interictal spike bursts which may be brought on by eye closure |
| Focal Impaired Temporal Lobe | loss of awareness, automatisms, staring, deja vu, emotional or thought disturbances, hallucinations interictal spike or sharp waves activated by sleep deprivation |
| Focal Frontal Lobe- what are the four manifestations? | Focal aware primary motor cortex (clonic twitching w/o loc), Focal aware or impaired from supplementary motor cortex (head deviation, raising of one arm with extension of other arm), Focal impaired from superior frontal region (unconsciousness followed by generalized tonic-clonic convulsion), Focal impaired from medial frontal or orbital-frontal areas (body rocking, dystonic posturing, repetitive movements, laughing, crying) |
| What are the EEG patterns of frontal lobe seizures? | Interictal discharges and even seizures may be undetected by scalp electrodes, discharges may appear widespread due to deep epileptigenic source |
| Absence seizure | no aura, >30 sec, staring, unresponsive, eye blinking, lip smacking, automatisms 3 Hz generalized spike and wave induced by HV |
| Generalized Tonic-Clonic | LOC, loss of body tone, stiff muscles, uncontrollable jerking/twitching Rapid spikes followed by spike-waves |
| JME (Juvenile Myoclonic Epilepsy) | high voltage polyspikes followed by slow waves, often occuring during stage 1 sleep, can be triggered by HV or photic |
| Lennox-Gastaut | severe generalized seizures EEG shows slow spike and wave complexes more than one type of seizure: tonic, atypical absence slowed background |
| West Syndrome/Epileptic Spasms | flexor, extensor, or mixed spasms usually associated with some degree of developmental delay hypsarrythmia |
| Progressive myoclonic epilepsy | Myoclonic epilepsies with ragged red fibers, lafora disease, unverricht-lundborg disease, Neuronal ceroid lipofuscinosis, cherry red spot myoclonus syndrom characterized by myoclonic seizures, progressive ataxia, and dementia generalized polyspike wave or spike wave, background progressively slows |
| Describe Lafora Disease | myoclonic seizures, GTC seizures, occipital seizures, status epilepticus risk, decline in intellectual function |
| Unverricht-Lunborg Disease | Onset age 6-15 Myoclonus LOC, muscle rigidity, tonic clonic, ataxia, intention tremor, dysarthia, |
| Landau-Kleffner | onset 3-9 years Dysphasia, acquired aphasia, 2/3 have seizures EEG abnormalities change in abundance, location, and pattern, electrographic status epilepticus |
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