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Migraines/Seizures

New Guidelines for treatments/ various seizure types

QuestionAnswer
38% of all people get migraines at some time. What percentage of this population seek help or get primary prevention treatment? 1/3
Name 5 criteria for primary migraine headache prevention treatment 1. frequent attacks 2. acute medication overuse 3. acute medication ineffective/not tolerated 4. patient preference 5. migraines assoc. with weakness or other ...neurological symptoms
Name the 2 medications that were initially the 1st line choice for migraines. Gabapentin and Verapamil
Name the 2 now preferred medications for migraine headaches. Topiramate and Topamax
What is a chronic disorder or group of chronic disorders in which the indispensable feature is recurrence of seizures that are typically unprovoked & usually unpredictable? Epilepsy
What is a transient epileptic event? Seizure
Signs of seizures can be broadly classified into a limited no. of categories such as what? 1. alteration of consciousness 2. behavior, posture, tone 3. motor activity, tone, sensation 4. autonomic function
Describe simple partial seizures. changes in vision/hearing, odd feelings, staring, deja vu, trembling that moves up 1 side of the body
What are 2 types of seizures? 1. Generalized 2. Partial
What are complex partial seizures? bilateral spread of the seizure discharge at least to the basal forebrain & limbic areas
What are some symptoms of complex partial seizures? lip smacking, picking at clothes, disrobing, repeated phrases, unaware of danger or pain, automatisms (automatic actions independent of external stimuli
What is a generalized (tonic-clonic) seizure? [formerly called grand-mal seizure] generally, body stiffens, falls to the ground, emits a loud cry, muscle jerking. Activity begins symmetrically an synchronously. AKA both hemispheres/simultaneously.
What is an absent seizure? [formerly called peti-mal seizure] result in brief periods of impaired awareness. also may be small motor movements, changes in muscle tone or automatic behaviors
What are myoclonic seizures? Characterized by rapid brief muscle jerks. Can occur bilaterally or unilaterally. Range from isolated small movements to massive bilateral spasms
What are atonic seizures? Associated with a sudden loss of muscle tone in a limb or throughout the entire body. A person will often drop things or fall to the ground
True or False? An accurate history and description of the episode is vital to the diagnosis. True
Name 4 diagnostic considerations when treating seizure disorders. 1. EEG (consider video EEG monitoring) 2. CT scan 3. MRI of the brain 4. Complete lab workup
Name 4 differential diagnoses for seizures. 1. Migraines 2. Syncope 3. TIA 4. Non-epileptic events
Name 3 treatment options for seizures. 1. Conservative approach if isolated event. 2. Avoid provoking factors if identified 3. Medication: dilantin, phenobarbitol, depakote, tegretol, topamax, lamictal, neurontin, keppra, vimpat.
Created by: MissyGirl3971