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Pre study prep
| Question | Answer |
|---|---|
| What is the max allowable instrument leakage current when recording from a patient with invasive monitoring? | 10 microamps |
| WADA | Language function |
| Temporal lobe epilepsy accounts for what % of all adults with epilepsy? | 60% |
| What type of resection is associated with medial temporal sclerosis? | Temporal lobectomy |
| The intracarotid amobarbital test is used to determine cerebral dominance for: | Language and memory function |
| This type of surgical treatment is most beneficial for patients who have epileptic zones arising from or overlapping with eloquent cortex; | Multiple subpial transection |
| The goal of cortical stimulation during functional mapping is to: | Identify eloquent cortex |
| A neonates EEG pattern is evaluated based on: | PMA- post menstrual age |
| Intracarotid injection of amobarbital procedures: | Ipsilateral hemispheric dysfunction and transient contralateral paralysis |
| The post ictal impairment of function within a discrete region of the brain: | Todd's paralysis |
| Lennox Gastaut seizure type: | Atypical absence |
| Which of the following best describes frontal lobe epilepsy? | May be confused with non epileptic seizures |
| What less invasive test for language and memory has decreased the number of WADA tests that are being conducted? | fMRI- Used for sensory/language mapping, part of pre surgical planning, detects spatial focal changes in blood flow and oxygen |
| What type of procedure is involved during the preoperative diagnostic WADA test? | Angiography |
| What type of surgical treatment is most beneficial for patients who have epileptic zones arising from or overlapping with eloquent cortex? | Multiple subpial transection |
| PET scan: | Hypometabolism |
| The greatest utility of cEEG is in the ICU patients with: | Unexplained "spells" such as variations in vital signs or twitching |
| What is the safest AED for pregnant women? | Lamictal |
| Hypsarrhythmia is a pattern most often associated with? | Infantile spasms |
| Expressive speech | Broca's |
| What type of resection is associated with medial temporal sclerosis? | Temporal lobectomy |
| Bolus of propofol will cause: | Burst suppression |
| Phenobarbital causes: | Beta activity |
| Which of the following meds is appropriate for treating status? | Lorazepam (Ativan) |
| Vagus nerve stimulators are approved for use in patients with: | Partial seizures |
| Ketogenic diet is: | High fat, low carb, adequate protein |
| Stimulation assessment should be done on patients in ICU: | Daily |
| Cerebral angiography prior to WADA is necessary to asses what? | Arterial blood flow |
| SPECT: | Single photon emission computed tomography |
| The best imaging study for assessing hippocampal sclerosis: | MRI |
| As part of the pre surgical workup, this magnetic source localization is used for spatial and temporal functional mapping of interictal epileptiform discharges: | MEG |
| PET studies in a child with Rasmussen's encephalitis will most likely demonstrate: | Widespread hemispheric hypo metabolism |
| MEG is helpful in detection of epileptiform activity in patients with: | |
| The interictal SPECT may show focal: | Hypoperfusion |
| PET studies in a patient with left temporal lobe epilepsy will most likely show: | Decreased glucose uptake |
| During a WADA, activities on one side of the brain are suspended for approx: | 4-8 minutes |
| At what age would PDR be seen? | 3-4 months old |
| What childhood epileptic syndrome has the best prognosis? | Panayiotopoulous syndrome |
| At what post menstrual age (PMA) do delta brushes occur? | 30 weeks |
| A neonates EEG pattern is evaluated based on: | Postmenstrual age (PMA) |
| Landau-Kleffner syndrome clinical sign: | Aphasia |
| Hypothalamic harmatomas are associated with: | Gelastic seizures |
| A surgical treatment for Sturge weber's: | Hemispherectomy |
| Juvenile myoclonic epilepsy: | Seizure within first hour of waking |
| Lennox-gastaut syndrome seizure type: | Atypical absence |
| A postictal impairment of function within a discrete region or regions of the brain: | Todd's paralysis |
| This type of surgical treatment is most beneficial for patients who. have epileptic zones arising from or overlapping with eloquent context: | Multiple subpial transection |
| The main difference between simple partial and complex partial is: | Preservation of consciousness |
| What blood vessel is most frequently involved in CVA? | Internal carotid artery |
| An effectively known treatment option for hypothalamic harmatomas is: | Gamma knife |
| How many hours is the typical therapeutic hypothermia period for neonates with hypoxic ischemic encephalopathy? | 72 |
| ACNS guidelines says contraindications for HV include: | Sickle cell, recent intracranial hemorrhage, significant cardiopulmonary disease |
| Steven-Johnson syndrome is common in critically ill ICU patients. It is a: | Type of severe skin reaction |