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Pediatric Epilepsy 2
Common Seizure Disorders in Kids
| Disorder Type | Disorder | Characteristics | Treatment |
|---|---|---|---|
| Generalized (non focal) | the entire brain is affected resulting in loss of consciouness | ||
| Generalized | Tonic/Clonic (Grand mal) | blue, shaking, fall on the ground, vomit, urinate | Monotherapy: Depakote (the only drug that really works, but it chews up the bone, so you have to be careful). Adjunctive therapy: Topamax |
| Generalized | Absence (Petit mal) | Hard to catch, spacie, staring | (blank) |
| Generalized | Myoclonic | jerk, kid looks like he's startled | (blank) |
| Generalized | Atonic | Drop, they fall | (blank) |
| Generalized | Infantile Spasms | shaking, turning blue - need immediate referral | (blank) |
| Partial | (blank) | only a portion of the brain is affected | Monotherapy: Tegretol, Trelptal, Depakote, Dilatin. Adjunct Therapy: Lamictal, Topamx, Keprra, Zonegram, Neurontin |
| Partial | Simple partial | consciousness is unimpaired | (blank) |
| Partial | Complex partial | consciousness is impaired | (blank) |
| Partial | Secondary generalized | Starts from a small area (focal portion) of the brain then spreads to the entire brain | Monotherapy: Tegretol, Trileptal, Lamictal, depakote, Dilantin. Adjunctive: Topamax, Keppra, Zonegran, Neurontin |
| Generalized | Absence | multiple brief staring episode may have 100 per day. Age of onset differs, may be brought on by hyperventilation. may disappear by teens | Ethosuximide, Depakote (divalproex sodium), lamictal, and clonazepam |
| (blank) | Juvenile myoclonic epilepsy | usually healthy teen who either wakes up with jerking in the early am, has staring spells or has General tonic Clonic upon wakening. Gets worse when tired. Life Long | Depakote, lamictal, clonazepam. Will need life long treatment |
| Generalized | Generalized Myoclonic Astatic | may see pts with infantile spasms. Laughing spells (gelastic seizures). Developmental delays | No 100% certain way to use these drugs. With any drug want most efficacious with least side effect |
| True or false. 1/3 of children who have cerebral palsy and moderate severe mental retardation develop epilepsy | True | (blank) | (blank) |
| (blank) | (blank) | Start slow (5 mg QOD) b/c of rash (they get Steven's Johnson's bad)..best for planning a pregancy and pregancy | Lamictal |
| (blank) | (blank) | may decrease bone density, causes thrombocytopenia. Nephrotoxic. Do consistent blood draws | Depakote |
| (blank) | (blank) | Not many drug-drug interactions. May be good for elderly with polypharmarcy. May unmaks underlying mental illness | Keppra |
| (blank) | (blank) | Effective, yet significant cognitive slowing in adults and kids. (Great drugs, but the kids are dopie, kids can't think) | Phenobarbital |
| (blank) | (blank) | May cause renal stones | Topamax (aka dopamax) |
| (blank) | (blank) | May cause renal stones - push PO fluids | Zonegran |
| (blank) | (blank) | Can reduce efficacy of OCPs. Often see leukopenia and hyponatremia, children have had severe behavior and mood changes | Tegretol |
| (blank) | (blank) | Can reduce efficacy of OCPs. Oral hygeiene essential. Children have had severe behavior and mood changes | Dilantin |
Created by:
lknightly
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