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CNS

Disorders and Drugs

QuestionAnswer
seizure caused by abnormal electrical discharges in the cerebral cortex (main portion of the brain), resulting in a change of behavior
convulsion involuntary contraction or series of contractions, of the voluntary muscles
epilepsy neurologic disorder characterized by sudden and recurring seizures, involves disturbances of neuronal electrical activity that interfere with normal brain function
causes of seizures alcohol or drug withdrawal, epilepsy, high fever, hypoglycemia and hyperglycemia, infection, brain tumors, trauma or head injury
negatively charged ions such as chloride, inhibit neuron firing
positively charged ions such as sodium and calcium, increase neuron firing
glutamate excitatory neurotransmitter
GABA inhibitory neurotransmitter
partial seizure localized in a specific hemisphere of the brain, generally a result from injury to the cerebral cortex
simple partial seizure twitching and sensory hallucinations, no loss of consciousness
complex partial seizure blank stare, postseizure amnesia with impaired consciousness often with confusion
generalized seizures simultaneous malfunction in both hemispheres of the brain and has no local origin
tonic-clonic seizure (FKA Grand mal seizure) muscle rigidity followed by muscle jerks with shallow breathing, loss of bladder control, excess salivation
status epilepticus tonic-clonic convulsions, high fever, lack of oxygen severe enough to cause brain damage or death, with or without loss of consciousness
absence seizure (FKA petit mal seizure) blank stare, rotating eyes, uncontrolled facial movements but no generalized convulsions, chewing, rapid blinking, can occur as often as 100 attacks a day
aura premonition of attack through unusual sensations of light, sound, and taste
myoclonic seizure sudden, massive, brief muscle jerks or nonmassive, quick jerks of the arms, hands, legs or feet; consciousness not lost, can occur during sleep
atonic seizure sudden loss of muscle tone and consciousness
sodium channel blockers MOA: block sodium in the fast sodium channels, decreases inappropriate firing of neurons; most common MOA of anticonvulsants
calcium channel blockers MOA: block calcium channels, decreases inappropriate firing of neurons
GABA enhancers MOA: inhibitory neurotransmitter, increase GABA= anticonvulsant; decrease GABA= proconvulsant
glutamate inhibitors MOA: excitatory neurotransmitter, ldecrease glutamate= anticonvulsant; increase glutamate= proconvulsant
monotherapy single drug therapy at a low dose, increase dose gradually over 3-4 weeks until seizures are controlled or adverse side effects occur;
combination therapy or polytherapy using two or more drugs from different classes; common among patients with severe forms of epilepsy
antiepileptic drugs usually seizure type specific, may control one type of seizure but exacerbate another type.
anticonvulsant drugs drugs used to control seizures, relatively narrow therapeutic ranges, factors that effect bioavailability: storage conditions, drug's physical and chemical characteristics, dosage form, patient's physical condition, drug interactions; medication guide
Created by: ChemeketaPHM2021
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